Payment Posting Lead

PRIMARY FUNCTION

Trains and Supervises Payment Posters.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all the duties that may be assigned.

1. Meets regularly with Revenue Cycle Manager to review work assignments and establish priorities.
2. Assist the RCM Manager in implementing policies and procedures, to ensure guidelines are being followed by Payment Posting and refund specialist team members. Assists in the oversight of staff’s day to day work assignments and completion status and communicates with Management regarding productivity and other related staffing issues.
3. Oversee, train, and provide resources for staff.
4. Audit accounts to ensure proper payment and adjustment action is being taken.
5. Research and reconcile unapplied or misapplied payments and credit balances.
6. Monitor and run reports to ensure staff productivity is within department standards.
7. Answer questions and act as a resource to Payment Posters as needed.
8. Assist with special projects, reports, and coordinate with other Team Leaders as needed.
9. Other various duties as assigned, including cross training in other functional areas.

SUPERVISORY RESPONSIBILITIES

Will assist with day-to-day work assignments and training of payment posters and refund specialists’ team to include evaluating and completing annual evaluations. 

QUALIFICATIONS

EDUCATION:

• High school diploma/GED or equivalent.
• Experience may be commensurate with education.

EXPERIENCE:

• A minimum of 3 years of revenue cycle management experience is required.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of Medical billing and collection protocol, all types of insurance (HMO, PPO, POS, Medicaid etc.) 
• Skill in defining problems, collection of data, interpreting billing information.
• Ability to communicate effectively verbally and written.
• Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics. 
• Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner.

TYPICAL WORKING CONDITIONS

• Non-patient facing
• May be either full time remote/telework or rotate working in the office and remote/telework.
• This job must be U.S. based.

• Indoor Work
• Operating Computer
• Reach Outward
• Manual Dexterity
• Lift/Carry 10 lbs. or less.
• Push/Pull 12 lbs. or less.
• Sitting

OTHER PHYSICAL REQUIREMENTS

• Vision
• Sense of sound
• Sense of touch

• Ability to wear Personal Protective Equipment (PPE) as needed.

PERFORMANCE REQUIREMENTS

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of the general nature of level of the job.