Medical Insurance Payment Associate

Medical Insurance Payment Posting Associate

Join to apply for the Medical Insurance Payment Posting Associate role at Atlantic Vision Partners

As a Medical Insurance Payment Posting Associate
, you are responsible for the timely and accurate posting of payments, denials, and adjustments. You will reconcile each batch within each Practice Management system, perform required tasks, and utilize various applications/tools such as Excel, Word, and a 10‑key calculator. Basic accounting mathematics is required. You must meet all departmental performance standards.

• Open batches and select appropriate payment codes based on insurance type. Verify the registered carrier against the carrier making payment on the EOB.
• For personal or credit‑card payments received at the office, ensure charges are posted to Patient Responsibility before posting the payment and select the appropriate payment code.
• Post non‑paid EOB batches for multiple payer types.
• Select the appropriate transaction message code for denied claims.
• Post multiple denial transaction messages as needed.
• When charges are applied toward deductible, transfer the deductible amount to Patient Responsibility. If the payer is participating, post the contractual adjustment and reduce the balance to the PTR deductible.
• Post individually submitted write‑offs, payment transfers, refunds, reversals, and recoveries as per policy.
• Review current balances in the system before processing card to avoid duplicate processing.
• Enter payment information into credit‑card software and await bank acknowledgement of payments processed or declined. Return all declines to the collector or assistant to obtain new credit‑card information.
• Post NSF’s and chargebacks to the appropriate patient’s account, including the applicable fee affiliated with the transaction.
• Be fully accountable for posting all payments and adjustments in accordance with monthly deadlines.
• Meet all departmental standards for posting productivity and quality.
• Maintain strict confidentiality in accordance with HIPAA regulations and company policy.
• Do not divulge any patient private health information (PHI) on any account except to payers that need information to process the claim for payment.
• Present a positive, professional appearance and convey a professional demeanor in the performance of assigned duties.
• Perform other job‑related duties within the job scope as requested by the RCM Supervisor, Manager, or Director.
• Provide efficient and friendly customer service to all company departments.
• Maintain excellent rapport with all external vendors.
• Always embody the principles of the corporate mission statement and philosophy.
• Represent the corporation in a positive fashion and make all individuals feel as comfortable as possible.
• Conduct all business professionally, respecting individuals.
• Apply company‑wide policies and procedures responsibly.
• Maintain constant awareness of potential safety hazards and ensure necessary safety precautions.
• Read and comply with established policies and procedures.

What you bring:

• High school diploma or equivalent.
• 1–3 years of experience in a medical office environment is preferred.
• Excellent judgment, dependability, and conscientiousness.
• Demonstrated high ethical standards and integrity.
• Demonstrated attention to detail.
• Demonstrated accuracy and thoroughness; monitors own work to ensure quality.
• Customer and patient service orientation: prompt response to patient needs and ability to manage difficult or emotional customer situations with tact, empathy, and diplomacy.
• Ability to work cooperatively in group situations; offers assistance and support to coworkers, actively resolves conflicts, inspires trust of others, and treats patients and coworkers with respect.
• Patient‑centered care focus and a team player.
• Handles multiple tasks effectively and efficiently and exhibits commitment to effective problem‑solving techniques when issues arise.
• Continuously acts to maintain a safe, clean, healthy, and fun work environment consistent with AVP’s mission and vision.
• Arrives on time, ready to work, and demonstrates minimal absenteeism.
• Demonstrates effective problem‑solving skills.
• Knowledge…