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Healthcare, Ophthalmology, Eye Care, Practice Management

Research and Reconciliation Specialist

Alton, ILOnsiteFull TimeEntry-level (exp-based)Posted 12 days ago

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Required skills

  • Lockbox
  • EFT
  • Payment Posting
  • AR
  • 3rd party billing
  • insurance billing
  • MS Windows
  • MS Word
  • MS Excel
  • KPI reporting

Nice to have

  • process efficiencies
  • cost savings
  • profitability improvements

Role summary

The Research and Reconciliation Specialist coordinates Lockbox and EFT payments from third-party insurance carriers and patients for Payment Posting. Responsibilities include daily batching of payments, locating remittances from various websites, and timely handoff to payment posters. The role involves maintaining and reporting personal KPI data, acting as a department resource for payment activity questions, and assisting the RCM Manager with special projects. This position also requires communicating system issues to management and serving as a resource for retail units regarding billing inquiries. Recommendations for process efficiencies are also expected.

The primary purpose of this position is to coordinate all Lockbox and EFT payments from 3rd party insurance carriers and patients for Payment Posting.


  • Responsible for daily batching of all Lockbox and EFT activity for multiple Tax IDs and multiple Cash Accounts
  • Responsible for going to multiple websites to locate Remittances
  • Responsible for timely handoff to Payment Posters daily
  • Maintain and report personal KPI data to Manager on a weekly basis using Deposit Portal
  • Develops expertise in payment activity and acts as a department and company resource for questions relating to this activity
  • Assist RCM Manager on special projects as needed
  • Communicates all system, site, and billing company issues to the REM Manager on a timely basis to allow management oversight and proper resource planning
  • Be a resource for retail units for questions relating to billing
  • Makes recommendations for efficiencies, processes, etc. which will deliver quality, cost savings, and/or profitability improvements within the department and / or across the organization
Qualifications
  • High school diploma or GED or equivalent
  • 1 year AR experience with 3rd party billing
  • Knowledge of insurance billing processes
  • Entry level PC skills in MS Windows, Word and Excel
  • Effective verbal and written communication skills to effectively speak with coworkers, and prepare concise and accurate reports
  • Demonstrated ability to work successfully in a team environment, functioning for the good of the team over the individual

Benefits

  • 401(k) with Match
  • Medical/Dental/Life/STD/LTD
  • Vision Service Plan
  • Employee Vision Discount Program
  • HSA/FSA
  • PTO
  • Paid Holidays

*Benefits applicable to full Time Employees only.

Physical Demands

  • This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.
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