Medical Payment Specialist

hace 2 semanas


Cali, Valle del Cauca, Colombia Health Prime Intl Llc A tiempo completo

Job Summary:

Health Prime Intl Llc is seeking a highly organized and detail-oriented Rcm Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for accurately and timely posting of all insurance and patient payments.

Duties and Responsibilities:

  1. Interpret and evaluate research requests to identify potential payment issues and discrepancies.
  2. Post payments received in various forms into our practice management system, including lockbox remits, electronic remits, undistributed accounts, correspondence remit manual posting, unposted/missing payments, and EOB downloads from payer websites.
  3. Analyze EOB information to verify accuracy of patient balances, including co-pays, deductible, co-insurance, contractual adjustments, denials, and more.
  4. Review payment information to ensure completeness and accuracy, and properly post denials in our practice management system.
  5. Communicate with the accounts receivable team to ensure timely follow-up and resolution of payment issues.

Necessary Attributes:

  1. Strong organizational skills with attention to detail and focus on accuracy and quality.
  2. Excellent communication and interpersonal skills, both verbal and written.
  3. Proficiency in Microsoft Office Suite or related software.
  4. Ability to multi-task, prioritize tasks, and work effectively in a fast-paced environment.
  5. Confidentiality and discretion in handling sensitive patient information.

Qualifications:

  1. Ability to interpret Explanation of Benefits (EOB) – preferred.
  2. Demonstrated ability to work with numbers quickly and accurately, with a basic understanding of accounting techniques.

Working Environment:

Health Prime Intl Llc is an equal opportunity employer. We offer a competitive salary and benefits package. If you are a motivated and detail-oriented Rcm Specialist looking for a new challenge, please submit your application.



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