Payment Posting Specialist - Community of Hope : Job Details

Job Type Full-time Description Payment Posting Specialist Are you excited about a new opportunity? Do you have a passion for delivering high quality service? Are you mission-driven to help towards improving health and eliminate inequities in health outcomes in under-resourced communities in DC? Well, look no further! At Community of Hope, we have worked diligently to improve health and end family homelessness to make Washington, DC, more equitable. We believe everyone in DC should have access to good healthcare, a stable income, and home, and hope! If you are ready to make a positive difference in the community, this position is for you! At COH, we strive for: Caring for Families. Improving Lives. Leading ChangeOur Approach and Values: We care for families by providing direct services with a focus on prevention, healing, and wellness. We improve lives by building on families' strengths, honoring their choices, and taking a whole-family, multi-generational approach. We lead and advocate for system change to address the effects of historical and current racial inequities on health outcomes and housing opportunities. We embrace the diversity of our community, welcome all voices and perspectives, and treat everyone with respect, compassion, and integrity. We strive for excellence in all that we do, implement evidence-based practices, measure our outcomes, and use this knowledge to continuously strengthen our work. Position Summary: The Payment Posting Specialist is accountable directly to the Billing Lead. This position is responsible for performing accurate and timely cash posting and balancing cash receipts. In addition, the payment posting specialist will maintain and reviews suspend report and ensure that payments are resolved timely. The pay rate for this position ranges between $23.07 - $25.48 per hour and the offer amount is determined by the candidate's education, qualifications, and experience . Indeed provides their own estimated salary calculator and is not affiliated with COH's range.Highlighted Duties and Responsibilities:

• Reviews daily health insurance explanation of benefits to determine proper application of payments and contractual adjustments. Posts daily manual insurance payments and corrects all edits. Applies approved discounts and adjustments as needed. Reconciles all payments received manually and/or by electronic transfer daily in eCW. Review and post interest, forward balances, and overpayment recoveries on remits and to interest/suspend report.
• Resolves discrepancies and balances all batches within 2-3 business days of receiving batches in first-in, first-out (FIFO) order.
• Analyzes payer reimbursement daily against payments received to ensure reimbursement is according to contract fee schedules and APM rates. Continually stay updated with state and federal contracts.
• Work on resolving payments in suspend daily, old and current reports. Follow up on unposted payments from previous months weekly until posted. Follow up daily on the Posting - Sent to Email status in eCW to resolve posting issues on claims. Work weekly unposted report for the billing department from 10/1/2016 - Current.
• Complete soft close weekly to reconcile payments received from accounting to what was posted. Closes out month end close no later than 3 business days after the month end. Ensures there are no remaining unidentified payments as needed.
• Open tickets in Waystar for missing remits and other issues when needed. Contact insurance with questions regarding remits and payments.
• Answers calls professionally via Five9 and collects patient payments on a rotating schedule (a full week or as a back-up to another team member). Credit card payments are processed through Pay Trace and posted into eClinicalWorks (eCW) during the same day. Voicemails should be reviewed the same day and returned within 24 hours.
• Handles sensitive information with care and discretion to ensure confidentiality.
• Attends departmental and organization wide meetings.
• Other duties as assigned*.

Requirements Minimum Qualifications:

• High School diploma required. Some college studies or Associate's degree preferred.
• Minimum 3 years of high-volume medical payment posting experience required.
• Knowledge of DC Medicaid and Managed Care payer's payment posting and denial codes.
• Working knowledge of Clearing Houses and Insurance Websites preferred.
• Proficiency in Microsoft Word, Outlook, and Excel required.
• Ability to maintain confidentiality in all matters, including Patient Health Information and employee data.
• Highly organized and able to meet strict deadlines.
• Ability to follow instructions, prioritizes, and simultaneously manages all daily tasks.
• Ability to think critically and resolve accounts with minimal supervision.
• Ability to learn and apply new concepts, applications, and processes that may be implemented to improve the efficiency of cash application.
• Proof of vaccination against COVID-19 is required. COH will consider requests for reasonable accommodations for anyone who cannot be vaccinated for a religious or medical reason, subject to applicable law.

At COH, we understand the toll that the Covid-19 pandemic has taken on the workforce, which is why we prioritize the following well-being and work-life balance centered benefits:

• Remote work opportunities are available for many of our roles, promoting a culture of work-life balance
• 8-hour workdays, which include a paid lunch
• 11.5 paid company holidays, 1 personal floating holiday, 15 days of paid vacation (increases to 20 after 3 years of service), and 12 days of paid sick leave on an annual basis
• Annual performance-based raises, up to 5% of your annual pay
• Tuition reimbursement, loan repayment for clinicians, licensing reimbursement, and continuing education unit funds for licensed staff
• Many opportunities for internal promotions and transfers across the agency as we continue to grow; we average 30+ promotions each year
• Ongoing internal leadership training for supervisors
• Diversity, equity, and inclusion training and initiatives for all staff
• Ongoing wellbeing activities, culture compact activities, and trauma-informed care initiatives
• Medical/Dental/Vision Plans through CareFirst BlueCross Blue Shield
• Life insurance, short-term disability and long-term disability insurance
• 403(b) Retirement Plan
• Flexible Spending Accounts for medical and dependent care reimbursable expenses
• And much more!
• In relation to remote work versus on-site expectations, this position is classified as the following:

Remote: A majority of the position may be able to work remotely, but employees will be required to report to the office a minimum of twice per month. Please note that remote work designations are subject to change or fluctuate at any point in time and the supervisor may require in person learning for a specific amount of time after hire. About Us: Community of Hope is a mission-driven, innovative, and rapidly growing nonprofit. For over 40 years, we have provided healthcare, housing, and supportive services for under-resourced, underserved and people experiencing homelessness in Washington, DC. As a Federally Qualified Health Center, we provide medical, dental, emotional wellness, and care coordination services for the whole family at three locations in DC. Community of Hope also strongly emphasizes maternal and child health, with midwifery practice and the only free-standing birth center in DC. In 2020, Community of Hope provided about 28,400 medical visits, 7,000 dental visits, and 10,000 behavioral health visits for about 11,000 patients. Community of Hope provides community walk-in COVID testing and COVID vaccines. Community of Hope is also one of the largest providers in DC of housing and support services for families and individuals experiencing homelessness. Through providing these programs, we live out our mission to improve health and end family and individual homelessness to make Washington, DC, more equitable. Community of Hope cares for families and individuals by providing direct services focusing on prevention, healing, and wellness. We improve lives by building on families' and individuals' strengths, honoring their choices, and taking a whole-family, multi-generational approach. We lead and advocate for system change to address the effects of historical and current racial inequities on health outcomes and housing opportunities. We embrace the diversity of our community, welcome all voices and perspectives, and treat everyone with respect, compassion, and integrity. We strive for excellence in everything we do, implement evidence-based practices, measure our outcomes, and use this knowledge to strengthen our work continuously. We were selected as one of The Washington Post 150 Top Workplaces in 2014, 2016, 2017, 2018, 2020, and 2021 based on feedback from our staff. To request a reasonable accommodation to complete an employment application or for general questions about employment with Community of Hope, contact a Recruiting Coordinator. Email: [email protected] Phone: 202-###-####. Community of Hope is an equal opportunity employer. Salary Description $23.07 - $25.48 per hour