We are looking for a Payment Posting Specialist to join our team in the Richardson, TX.

This is an onsite position.

Your will be responsible for accurately posting all payments received from Insurance, Patients, and other ancillary departments into computer systems. Supervisory Responsibilities:

What are the responsibilities?

• Enters and scans EOBs/denials/refunds requests.

• Enters hospital contract payments.

• Enters insurance payments: paper and EFT’s into USMON / Allscripts and allocates funds to the proper payment channel to ensure.

• Accurately posts payments and analyzes the EOB's to determine if it needs to be appealed or reprocessed for proper payment.

• Stays abreast of coding changes and updates to reimbursement guidelines per EOB explanations. • Scans and uploads all correspondence into SharePoint regarding patient and insurance payments.

• Reconciles daily deposit batches in USMon/ Allscripts vs. banking deposits.

• Participates in monthly reconciliation.

• Keeps current spreadsheet for deposits, balancing against bank totals, including exception report • Maintains spreadsheet for AR claim credit.

• Verifies if each claim was processed accurately, based on verification of benefits.

• Enters detailed notes for any claim that didn't process and pay accurately.

• Handles all medical record and billing record requests from third parties, including invoicing, posting payments, affidavits, and sending of MR.

• Handles all medical record requests from insurance, including invoicing if request is over 15 days of submitting claim, submits MR to insurance, and posts MR payment.

• Handles all refund requests from insurance, including researching the issue, determining if insurance is due back what they are requesting, and posting recoupments in USMON / All scripts.

• Handles all W-9 requests from insurance.

Handles all individual case agreements / proposals.

• Performs other related duties as assigned

This is an opportunity!

AppleOne is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness. All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws..

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf