Payment Poster

Date Posted:  06 / 21 / 2012

Facility:  Gamma Surgery Center

Job Category:  Business Office

Position Description

Payment Poster

 

 

POSITION SUMMARY

Plans, organizes and directs all aspects of the payment posting.

 

REPORTING RELATIONSHIPS:

 

1. Reports directly to the Business Office Manager


2. Indirectly to the Regional Vice President

 

WORKING RELATIONSHIPS:

 

1. Collaborates with Biller-Collector on claims not paid per outstanding balance.


2.  Collaborates with Business Office Manager and the Center Director.

 

PRINCIPAL ACCOUNTABLITIES:

 

• Interprets and enforces third party payer rules and regulations; including Medicare requirements.


• Maintains knowledge of and complies with established policies and procedures.


• Audits accounts to assure compliance with applicable laws and regulations relative to fraud and abuse issues.


• Monitors Medicare reimbursements and maintains files.


• Knowledge of coding policies and procedures; established in accordance with HCFA and third party payers.


• Maintains knowledge of Medicare and third party contracts as it relates to ASC’s.


• Maintains a high level of proficiency in computer applications.


• Maintains the strictest confidentiality.


• Performs related work as required. 

Minimum Experience:  1

Preferred Experience:  3

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/ or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

 

1. Thorough understanding of the insurance industry and how it relates to Ambulatory Surgery Centers.


2. Knowledge of governmental regulations and HCFA guidelines as it pertains to coding and compliance.


3. Maintains a high level of proficiency in computer applications.


4. Skills in exercising a high degree of initiative, judgment, discretion and decision-making to achieve organizational objectives.


5. Skills in establishing and maintaining effective working relationships with patients, staff, physician offices, and the general public.


6. Ability to communicate clearly and effectively with all levels of management

 

PHYSICIAL REQUIREMENTS

 

• Must exhibit desirable trunk and extremity mobility and strength to perform job duties.


• Must be able to lift a minimum of 35 pounds safely


• Must be able to see, hear, and speak English.


• Must be able to sit for long periods

 

WORKING ENVIROMENT

In the work environment of the center, there may be potential exposure to communicable diseases,

contaminated blood and body fluids, and hazardous materials. In addition fluoroscopy is utilized which may expose the employee to radiation.