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Medix is hiring a Payment and Denial Management Specialist to support a speciality prosthetics organization in Manhattan, NY. This is a highly reputable organization that is affiliated with most major hospital systems! They are looking for dedicated and motivated individuals looking to grow within the organization.
Responsibilities:
Post all payments including check, EFT's, Recoups and credit card/cash payments
Post all hospital payments
Accurately post TPA payments with fee deductions
Accurately posts recoups from carriers and applies forward negative balance to appropriate accounts
Investigates insurance carrier overpayments and recoups
Process patient and insurance carrier refunds and submit to AP
Answer patient phone calls related to account balances, refunds and billing inquiries
Escalate patient phone calls when necessary
Review EOP's when posting manual checks, autoposting EFT's and $0 payments
Review any balances for patient deductible, coinsurance or secondary carrier and setting correct financial responsibility
Submit secondary carrier electronic billing claims
Daily Review of the posting log to monitor payments and post within 3 business days of deposit
Ensures payment reconciliation/balancing when posting manually/auto-post
Review posting log for up-to-date reconciliation
Review payor codes are updated in PMS when posting
Report any fee schedule discrepancies to management
Denial Management- Review EOB's for line item denials
Submit front office discrepancy denials
Submit corrected claims (modifier issue, demo discrepancy, incorrect POS, NPI) to all carriers and noting the PMS detailing corrections made
Qualifications:
Schedule:
Monday-Friday, 8:30am to 5:30pm
Interviews are taking place now - apply today!