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Payment and Reconciliation Specialist- Hybrid @ COR

Phoenix, Arizona, USOnsiteFull-time
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About this role

Benefits:

• Competitive Health & Welfare Benefits

• Monthly $43 stipend to use toward ancillary benefits

• HSA with qualifying HDHP plans with company match

• 401k plan after 6 months of service with company match (Part-time employees included)

• Employee Assistance Program that is available 24/7 to provide support

• Employee Appreciation Days

• Employee Wellness Events

Minimum Qualifications:

• A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.

• Prefer previous cash posting experience in a multiple lockbox environment.

• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Essential Functions

• Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.

• Posting financial transactions through the use of automated systems and team processes.

• Accurately interprets insurance explanation of benefits to ensure proper posting.

• Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.

• Participation in optimizing productivity within the area.

• Maintains knowledge of the work area and optimizes the use of available technology.

• Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.

• Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.

• Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.

• Processes and posts refund checks as received into the patient accounting system.

• Establishes and maintains effective communication with physicians, staff, and other departments as required.

• Accepts and completes additional requests from the Cash Applications Supervisor.

• Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.

• Effectively forwards accounts requiring work up or resubmission to the business office staff.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?

• #1 for Orthopedic Practices

• #1 for Healthiest Healthcare Employers

• #3 for Best Healthcare Workplace Culture

• Winner in Best Places to Work

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