Phlebotomist- $3,000 Sign On Bonus Available!
ABOUT WILMINGTON HEALTH
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.
PURPOSE:
Applies all payments, adjustments, denials and requests for information received from the insurance carriers in the form of an Explanation of Benefit, Explanation of Payment, Remittance, as well as the payments from private parties, accurately to the patient account in the practice management system in a timely manner
ESSENTIAL DUTIES/RESPONSIBILITIES:
Applies transactions in practice management system via electronic or manual entry
Validates electronic remittance advice information prior to posting
Posts reason codes per the EOB on each line item
Ensures balance is correctly moved to the Next Responsible Party, i.e., secondary insurance, patient; prior to posting batch to practice management system
Balances each batch to the deposit amount prior to posting to practice management system
Ensures claims are accurately closed or re-opened as a result of a recoupment of payment
Applies logic and reason to identify and prevent trends and erroneous payments
Assists in identifying claims that are not paid according to negotiated contract
Balances payment and adjustment batches prior to posting to practice management system
Identifies and report reoccurring claim denials and erroneous payments
Maintains EFT records for clearing house-making sure that all remits are pulled off for the month and have been posted, including zero dollar ERAs
Maintains monthly deposit log, balancing payments posted daily
Identifies and initiates refund on overpayments created while posting
Begins refund process for deposited money not belonging to Wilmington Health
OTHER DUTIES:
As assigned by management
QUALIFICATIONS:
REQUIRED:
High school diploma or equivalent
Strong proficiency working in a Windows environment
Proficiency with Microsoft Office Suite (Excel, Word, Outlook)
WILMINGTON HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO PROVIDING EQUAL OPPORTUNITIES TO ALL APPLICANTS AND EMPLOYEES. WE ARE COMMITTED TO TREATING EVERYONE EQUALLY AND WITH RESPECT REGARDLESS OF RACE, AGE, SEX, RELIGION, NATIONAL ORIGIN, CITIZENSHIP, MARITAL STATUS, VETERAN’S STATUS, SEXUAL PREFERENCE, DISABILITY, GENETIC INFORMATION OR ANY OTHER CLASS PROTECTED UNDER STATE OR FEDERAL LAW.
ADA PHYSICAL DEMANDS:
Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)
PHYSICAL DEMAND
REQUIRED?
FREQUENCY
Standing
Rarely
Sitting
Continuously
Walking
Rarely
Kneeling/Crouching
Rarely
Lifting
Rarely
Required Skills
POSTING ANALYST COMPETENCIES
GENERAL
DEPARTMENT SPECIFIC
Required Experience
POSTING ANALYST COMPETENCIES
GENERAL
DEPARTMENT SPECIFIC