Payment Application Associate

Job Summary:

Plays a crucial role in ensuring efficient and accurate management of patient accounts receivable. This position involves providing top-notch customer service and accounts receivable management. The ideal candidate will review and analyze patient medical records and accounts receivables to verify correct billing and ensure insurance companies have the necessary information for claims adjudication. Knowledge of HIPAA Law and standard coding such as CPT/HCPCS is essential.

Key Responsibilities:

• Prepare and submit medical claims both hardcopy and electronically to various third-party payors and clearinghouses.
• Follow up on and collect outstanding aged trial balance reports through oral and written communications.
• Analyze and appeal difficult-to-collect accounts.
• Review and process daily correspondence to correct or update insurance carrier inquiries.
• Manage special projects as assigned.
• Assign appropriate CPT and ICD-10 codes with a target accuracy rate of 95% or better.
• Review chart documentation to ensure ICD-10 and CPT codes are supported, taking corrective actions as needed.
• Research coding discrepancies and ensure compliance and accuracy in reimbursement.
• Maintain current knowledge of coding requirements through continuing education and certification renewal.
• Document discrepancies in coding trends and provide innovative solutions to improve collections.
• Perform other duties as assigned.

Qualifications and Education Requirements:

• Completed at least 2 years in college with 1 to 2 years' experience in Insurance Payment Posting/ Account Receivables (Non Nego)
• Proficiency in computer applications (Word, Excel, PowerPoint).
• Intermediate oral and written communication skills.
• Strong organizational, analytical, and time management skills.
• Positive and professional attitude.
• Experience in Account Receivables, Eligibility and Benefits, Claims and denial