Electronic Remittance/Research Specialist

Company: MedAmerica Billing Services, Inc.

General Information
US-CA-Modesto
N/A
Not Specified
Full-Time
Not Specified
Not Specified
False
False
Job Description

Why MBSI?

MBSI is one of the top employers of Stanislaus County providing medical billing, coding, and reimbursement services along with various reports to MedAmerica a leading healthcare price management organization. MedAmerica Billing Services, Inc. (MBSI) has been in the physician billing business since 1975. MBSI has continued to expand and now has 2 additional locations including an office in Ontario, CA as well as Scottsdale, AZ.

MBSI has adapted to the ever-changing medical billing environment, modifying and adding to its services to proactively meet the needs of its clients. A focus on physician and employee education coupled with advanced IT capabilities has positioned MBSI and its clients to operate successfully in a climate of increased governmental regulations, third party contracting and reimbursement challenges.

SUMMARY:

Responsible for posting electronic fund transfer (EFT) payments/denials to the CPU/AS400 billing system and/or review and reconcile electronic funds transfers (EFT) deposits and electronic remittance advice (ERA) through the PARM (Payment Automation/Reconciliation Manager) application. Maintain denial spreadsheets for assigned EFT payers. Perform various duties to assist department as necessary. This is a non-exempt hourly, in house position that reports to Electronic Remittance Supervisor and/or Electronic Remittance Research Supervisor.

ESSENTIAL JOB FUNCTIONS:

  • Post Electronic Payments and Denials in PARM (Payment Automation/Reconciliation Manager) application and CPU/AS400 billing system.
  • Review, prepare and balance EFT Deposits.
  • Maintain Payer spreadsheets for payer denials.
  • Follow up on outstanding and/or out of balance deposits in PARM (Payment Automation/Reconciliation Manager).
  • Research suspense accounts with ACT ERD (Electronic Remittance Department) for transfer of funds to appropriate patient accounts.
  • Contact insurance carriers and utilize payer websites to obtain necessary information for processing of EFT deposits.
  • Maintains current knowledge of payment posting practices by attending meetings, training sessions and seminars.
  • Work on special reports, projects and other duties as requested.
  • May be asked to travel locally for meetings or seminars, not exceeding 1% of time.
  • KNOWLEDGE, ABILITIES AND SKILLS:

  • Knowledge of CPU/AS400 billing system.
  • Ability to interpret/decipher Explanation of Benefit (EOB) information and Electronic Remittance downloads.
  • Computer skills including Microsoft Suite.
  • Must possess excellent verbal and written communication skills.
  • Must be able to perform 10-key by touch.
  • Must be able to type a minimum speed 7,000 data entry key strokes per hour with a 95% accuracy or higher.
  • Must be able to pass an Excel assessment with a score of 80% or higher.
  • Must possess strong interpersonal skills to work within a team environment.
  • Ability to prioritize and adapt to changes in assignments and deadline.
  • Must be able to perform all duties with a high degree of accuracy.
  • Ability to handle fast-paced, high production environment.
  • What We Offer Our Most Valuable Asset, Our Employees:

    We offer the opportunity to help positively impact the healthcare industry while enjoying an amazing benefits package and work environment.

    Competitive benefits package: Multiple health plan options or reimbursement for non-coverage, exceptional 401k plan (that includes a very generous company match), 2 weeks paid vacation, sick leave, tuition reimbursement, life insurance, discount on fitness centers and more.

    A Culture of Caring: Friendly, caring, business casual environment. Opportunities to learn or develop your skills.

    Our Philosophy: MBSI Cares

    C - Client Centered

    A - Adapt as a Team

    R-  Responsive

    E-  Engaged

    S - Supportive of Each Other

    TEAMWORK MAKES THE DREAM WORK!  MedAmerica Billing Services, Inc. is an Equal Opportunity Employer.

    Job Requirements