Payment Posting Team Lead

Summary/Objective

The Payment Posting Team Lead generates patient statements and other invoices. Responsibilities may include data entry, posting payments, reconciling billings and invoices, checking balances and maintaining patient files. Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions. Responsible for all electronic and manual EOB payment posting, accuracy, and reconciliation. Oversees the workflow and functions of a team. Develops and implements policies and procedures.

Essential Functions

1. Processes electronic and manual payer EOBs, including the posting of patient portions, denials, adjustments and contractual allowance.

2. Ensures accurate interfacing, reconciliation and posting of payments. Researches missing amounts and makes corrections as needed.

3. Reconciles daily reporting form multiple bank accounts to receivable accounts.

4. Posts patient and carrier payments to patient accounts accurately. Calculates and enters contractual adjustments and patient discounts.

5. Reviews and improves, where necessary, processes for payment posting and reconciliation with improved accuracy and timeliness in mind.

6. Acts as first point of contact for Payment Posters regarding questions, escalations and/or troubleshooting.

7. Works alongside Management in reviewing, developing, implementing and maintaining policies and procedures for refund posting and reconciliation as needed.

8. Other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

1. Financial Management.

2. Ethical Conduct.

3. Thoroughness.

4. Collaboration Skills.

5. Time Management.

6. Organization Skills.

7. Project Management.

8. Personal Effectiveness/Credibility.

Supervisory Responsibility

This position has no direct supervisory responsibilities, but does serve as a coach and mentor for the Payment Posters.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.

Travel

No travel is expected for this position.

Job Qualifications

Minimum Qualifications/Experience:

• Three plus years’ experience in electronic EOB and lockbox payment posting to include posting of allowable amounts and reconciliation processes
• Three plus years’ experience in manual payment posting & reconciliation
• Two plus years’ experience in a Team Lead or Supervisory/Management role with experience initiating policies and procedures.
• Detail oriented, self-motivated, a problem solver and a team player
• Ability to navigate multiple computer screens and browsers quickly and accurately
• Ability to excel in a very fast-pace team environment
• Ability to continuously “exceed” company and customer expectation
• Strong communication skills & professional demeanor

Education/Certifications

• Bachelor’s Degree in Finance, Accounting, Healthcare Administration or related field preferred or equivalent education, training and experience

Additional Eligibility Qualifications

None required for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Other duties may be assigned as needed by supervision.

Compliance

Adheres to Envision’s Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company.

Company Benefits

The following benefit programs are available to eligible employees. Benefits eligibility is dependent on a variety of factors, including employee classification.

• Health Benefits: Medical/Dental/Vision/Life Insurance
• Company Matched 401k Plan
• Employee Stock Ownership Plan
• Paid Time Off + Paid Holidays
• Employee Assistance Program

OSHA Exposure Rating: 1

It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.

Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.