SSM HEALTH CARE CORPORATION Payment Poster in Bridgeton, Missouri
ROLE PURPOSE: The Payment Poster is responsible for manually posting a high volume of insurance and patient payments into the Epic billing system. He/she will code and post zero payment insurance denials; process electronic remittance advice ERA ANSI-835 files, work electronic remittance work queues to resolve payment errors, and identify, research and reconcile recoupments and unidentified payments. He/she is also responsible for identifying payment error trends or issues and working with his/her supervisor, manager, and team to facilitate root cause analysis and continuous process improvement. RESPONSIBILITIES: * At the line item level, posts a high volume of payments, including patient payments, insurance payments, government payments, collection agency payments, and zero payment insurance denials to patient accounts. Applies all appropriate remittance codes. * Processes electronic remittance advice ERA files from payers, banks, and collection agencies. Works electronic remittance work queues ERWQs to resolve identified errors. * Reconciles and maintains assigned ERWQ clearing accounts on a daily basis. * Manages assigned work queues to ensure timely payment and denial posting. Accurately decipher payment error reasons and plan follow-up steps. * Initiates contact with payers and/or other departments e.g., Patient Business Services PBS/hospital billing staff by telephone, email, or correspondence to follow-up on specific questions pertaining to unidentified payments, missing or incorrect EOB/ERAs or other claims adjudication questions. * Follows all department policies and procedures, desk level procedures, guidance documents, or other work tools designed to ensure accuracy. * As necessary and appropriate, documents clear and concise notes within Epic according to established standards to facilitate comprehensive and accurate claim history. * Reviews Epic, OnBase and other systems to obtain required information regarding electronic payment files, bank deposits, and payments posted by PBS. * Meets established productivity and quality metrics. * Keeps current with payer updates and applies knowledge to assist in submission and payment of claims. * Is watchful for payment error/issue trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement. * Works collaboratively with other PRO departments to share feedback and ensure high functioning revenue cycle processes. * Performs any special assignments, as requested. MINIMUM QUALIFICATIONS: * High School diploma or equivalent PREFERRED QUALIFICATIONS: * Experience in professional billing payment Company - SYSTEM OFFICE Company is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, Company operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company. Our Mission: Through our exceptional health care services, we reveal the healing presence of God. BENEFITS STATEMENT:Employer's Job# 18017341Please visit job URL for more information about this opening and to view EOE statement.