Representative, Payment Posting

Description

Hey there! We’re Acclara.

As a remote-first workforce with team members in all 50 states, we’re a unique group of strategists, technologists, and service providers—all united in serving our partners to deliver the best care to their patients, helping build even healthier communities for us all to live and work in.

We bring our one-of-a-kind selves to work each day, and we welcome (and want) you to do the same. Coffee connoisseurs, moms and dads, runners, animal lovers, adventurists—the list goes on—we all came to make a difference, and we stay because we’ve found a place where we don’t have to do it alone.

Our team’s work is fueled by our CORE values of Commitment, Outcomes, Respect, and Empowerment. They’re the “how” behind what we do, guiding our actions as we aim to change the way technology and services come together.

The Role

The Payment Posting Representative is responsible for posting (both manually and electronically) a high volume of insurance and patient payments in an accurate and timely manner. Also, this position may process credit card payments, reconcile client direct deposits with electronic remittance programs and timely resolution of WQ transactions.

What You’ll Do

Review and interpret patient statement, payment information from EOBs, balance, and client contractual terms/agreements and to accurately apply payment and adjustments when necessary. Posting payments, adjustments, corrections, and denials timely and accurately at department standard. Identifying and copying payments and or correspondence needed to bill additional insurance companies to maximize reimbursement.     Identifying and communicating payment types such as Medicare, Medi-Cal, etc.   May validate patient payments collected by clinics for prompt posting. Identifying and communicating crediting and duplicate payments and payments below acceptable negotiated amount.  Balancing, closing, and recording all batches, and updating and maintaining any logs and spreadsheets used for reconciliations. Treats all information and data within the scope of the position with complete confidentiality and security and maintains all practices to protect PHI and follow HIPAA guidelines.    Research and resolve unapplied/unidentified cash receipts. Identifies any payments not being paid or missing ERA/EOB documentation and communicates this to the appropriate representative. Review and interpret over payment requests and determine appropriate next steps. Reviews the unapplied funds report identifying cash transactions that could not post and Identify credit balances at time of posting and submit refund request for approval. Processes correspondence denials and acknowledgements as a zero pay with transaction message and remark codes. Other duties as assigned.

What We’re Looking For

High school diploma or equivalent. 1 year experience in healthcare, revenue cycle, customer/client service. Ability to interpret Explanation of Benefits (EOB). Ability to analyze, and interpret financial data.  Excellent attention to detail with a focus on quality.  Ability to multi-task, establish work priorities, work with interruptions, prioritize needs to meet required timelines and deal effectively with confidential information.  Ability to think independently and use good judgment for situations which require initiative and innovation to appropriately resolve and escalate issues.   Proven data entry and10-key by touch skills. Excellent written and verbal communication skills. Demonstrated ability to work with numbers quickly and accurately with an understanding of basic accounting techniques. Proven PC proficiency in Microsoft Office Suite (Word, Excel, and Outlook). Demonstrated service excellence with patients, families, clients, and team members.  Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.

How We Take Care of Our Team Members

Remote-first workplace, with opportunities to work on-site in certain locationsComprehensive medical, dental, and vision coverageParental leave401K with company matchCompany-paid life insurance, short-term disability, and long-term disabilityPaid time off and holidays

Pay Range: $16.33 - $22.49

This compensation range is a reasonable estimate that extends from the lowest to the highest pay Acclara in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Acclara may ultimately pay more or less than the posted range as permitted by law.

Diversity, Equity, and Inclusion Matter

At Acclara, you’re invited to bring more of yourself to work—not less. Your background, your culture, and your personal experiences are all important pieces of the authentic you, and we honor that. Connection is created when we show up.

Acclara, an R1 company, is dedicated to the fundamentals of equal employment opportunity. Acclara’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, Acclara is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you need reasonable accommodation due to a disability for any part of the interview process, please contact [email protected].

Visa Sponsorship is not available at this time.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights: California Consent