OI Infusion
  • Houston, TX, USA
  • Hourly
  • Full Time

401k match, healthcare coverage, employee assistance program and PTO

OI Infusion Services is a fast growing startup making an immediate impact in the growing and quickly changing specialty infusion market. Our mission is to transform the infusion experience helping all stakeholders in the process by i) growing the practices of our provider partners, ii) saving patients out of pocket costs while increasing access to convenient and high quality infusion therapy services, and iii) reducing costs for payors and the healthcare system as a whole.

Essential Job duties:

The Payment Posting Specialist is responsible for posting payments, and adjusting and denying claims from third party insurance payers. The core responsibility of a Payment Posting Specialist is to accurately and efficiently enter remittance information provided from insurance carriers. All job functions must be completed with a minimum number of errors and are subject to routine quality reviews. He/she must be able to work independently in a fast-paced environment.

Payment Poster Specialist Essential Duties and Responsibilities:

  • Reviews and interprets explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes
  • Completes tasks accurately while maintaining quality and production standards
  • Posts payments and adjustments from patient statements, remittance advices, insurance carriers, and electronic downloads while utilizing the appropriate fee schedule/policy
  • Enters alphabetic, numeric, or symbolic data such as denial codes and rejections from all payers into practice management system
  • Demonstrates knowledge of insurance payer guidelines and internal collection guidelines
  • Identifies invoices with a secondary payer and takes the appropriate action to ensure they are sent to secondary carriers
  • Inputs zero payment vouchers and insurance rejections from all payer sources in a timely manner
  • Runs and analyzes balancing report to ensure accurate posting
  • Reconciles cash batch while supporting department cash control policies and procedures
  • Identifies incomplete information necessary to post remittance and contact the necessary supervisor to resolve questions, inconsistencies, or missing data
  • Meets monthly close deadlines
  • Assists staff with payment and adjustment questions and conducts research if necessary
  • Assists staff with the insurance file updates and access to insurance websites
  • Maintains and respects the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA guidelines
  • Demonstrates ability to learn computer applications as they relate to job duties and proficiency in the practice management system
  • Demonstrates responsibility for personal and professional growth and effective communication
  • Other duties as assigned by Supervisor or Manager
  • Calls on claims to determine claim payment status

Payment Poster Specialist Required Education, Skills and Abilities:

  • High school diploma or equivalent
  • 1+ years' experience in healthcare insurance billing, knowledge of third party insurance in regards to plan types (HMO/PPO/POS and Indemnity)
  • Strong data entry skills; ability to input a high volume of information
  • Proficient 10 key skills, subject to testing
  • Attention to detail ability to maintain speed while upholding accuracy
  • Knowledge of CPT, ICD-9, ICD-10 or medical terminology preferred
  • Ability to perform simple analysis and discuss with Supervisor
  • Skilled in Microsoft Office: Word and Excel
OI Infusion
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