MemorialCare Medical Foundation Job - 31793313 | CareerArc
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Company: MemorialCare Medical Foundation
Location: Fountain Valley, CA
Career Level: Associate
Industries: Hospitals, Health Care


Job Specific Competencies

  • On a daily basis, accurately read and interpret the explanation of benefits (EOB) from various insurance payers and post payments to patient encounters with minimal or no error rate.
  • Balance and post assigned electronic remittance batches. Resolve batch issues/errors that are within capability of resolving. Report unresolved issues to manager or supervisor.
  • Accurately process patient payments within a two (2) day turnaround.
  • Notify appropriate staff of any payment discrepancies for research.
  • Post all reason codes correctly attached to the payment and/or adjustment to which they correspond, posting and documenting all applicable information on the EOB.
  • Print EOB's from payor websites and log into spreadsheet.
  • Link EOB images correctly via ICS/OnBase for future reference.
  • Update posting log upon posting of each payment batch.
  • Collaborates with teammates to ensure that department close is met within the assigned timeframe.
  • Perform at or above the assigned department quality and productivity standard.
  • Post bonus, capitation and encounter checks as appropriate.
  • Perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability


Minimum Requirements / Work Experience

  • Minimum two (2) years experience in patient account billing and collections.
  • Excellent problem solving skills required.
  • General computer skills required, including the ability to use the internet and learn other computer applications successfully.
  • Working knowledge of general medical office procedure.
  • 40 WPM typing, verifiable
  • 10 key by touch
  • Must have good listening skills and be able to effectively and clearly communicate (written and verbal) in English.

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