Payment Processor/Poster

OMH HealthEdge Holdings Inc
  • Boca Raton, FL
    2 days ago

    Job Description

    Summary/Objective

    Under limited supervision the Payment Processor/Poster will be responsible for accurately and efficiently processing payments, credits, and refunds, ensuring adherence to established policies and procedures.

    Essential Job Functions

    Review and reconcile electronic remittance advice (ERA) files, paper checks, credit card transactions, and other forms of payment received.

    Accurately post payments to patient accounts using the appropriate billing software or database.

    Identify and resolve any discrepancies or issues with posted payments, ensuring accuracy and adherence to regulatory requirements.

    Work closely with insurance companies, patients, or third-party payers to resolve payment-related inquiries or disputes.

    Process credit balance requests by identifying overpayments and initiating refunds according to company policies and procedures.

    Maintain accurate and updated records of all payment transactions, credits, and refunds, including the completion of necessary documentation.

    Stay up to date with industry trends, regulations, and changes in reimbursement practices to ensure payments, credits, or refunds.

    Provide excellent customer service by promptly responding to any inquiries or requests related to payments, credits, or refunds.

    Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.

    Performs duties in compliance with Company's policies and procedures, including but not limited to those related to HIPAA and compliance.

    Key Success Indicators/Attributes

    Excellent attention to detail and accuracy in data entry and record keeping.

    Ability to prioritize and multi-task in a fast-paced, changing environment.

    Demonstrate ability to work in all work types and specialties.

    Demonstrate ability to self-motivate, set goals, and meet deadlines.

    Demonstrate problem-solving skills and the ability to think critically to identify and implement appropriate solutions.

    Demonstrate excellent verbal communication skills, with the ability to interact professionally with insurance companies, patients, and colleagues.

    Strong active listening skills to understand patient concerns and provide appropriate resolutions.

    Maintain courteous and professional working relationships with employees at all levels of the organization.

    Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.

    Skill in operating a personal computer and utilizing a variety of software applications is essential.

    Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage.

    Supervisory Responsibility

    No

    Work Environment

    This job operates in an office environment. This role routinely uses standard office equipment such as computers and phones.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

    Stationary Position: Must be able to remain at a desk for prolonged periods for most of the workday.

    Operating Equipment: Constantly operates a computer, keyboard, mouse, and telephone/headset, including frequent repetitive hand/wrist motions for typing and prolonged periods of screen viewing and virtual communication.

    Visual Requirements: Requires close visual acuity to view computer screens, read documents, and analyze data.

    Cognitive Focus: Sustained concentration for problem-solving and task management, including ability to maintain concentrated attention to detail to ensure coding accuracy and compliance

    Communication: Frequently communicates with coworkers and clients via speech and hearing.

    Movement: Occasionally stands, walks, or reaches to access office equipment, files, or supplies. Light lifting of up to 10 pounds may occasionally be required.

    Position Type

    This position can be full-time or part-time as determined by the job requisition for the specific client assignment to which the employee is assigned.

    Expected Hours of Work

    Days and hours of work will depend on the specific client assignment to which the employee is assigned. This position may require long hours and weekend work to support Company or client needs.

    Travel

    Minimal travel required; up to 5%

    Required Education and Experience

    Minimum of 1-2 years prior experience/knowledge of payment posting procedures, insurance claim processing, and billing practices. Familiarity with various payment methods, including electronic remittance advice (ERA), checks, credit cards, and online payment systems.

    Proficient in using billing software and Microsoft Office Suite.

    High School diploma or equivalent, additional education in healthcare administration or related field is a plus.

    Proven experience in a customer service or call center role, preferably within the healthcare industry.

    Preferred Education and Experience

    N/A

    Additional Eligibility Qualifications

    N/A

    Security Access Requirements

    In addition to the specific security access required by the employee's client engagement, the employee will have access to the Omega set forth in the "Standard Field Employee" profile.

    Microsoft Office

    ADP

    Oracle

    E1- Field Employee

    Standard Employee

    Standard

    Equal Employment Opportunity:

    Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

    Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.

    Other Duties

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.

    Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

    We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

    AAP/EEO Statement

    Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

    Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.

    Numbers & Facts

    LocationBoca Raton, FL

    Skills

    • Audiovisualunmatched
    • Billingunmatched
    • Billing Softwareunmatched
    • Biologyunmatched
    • Call Centersunmatched
    • Card Processingunmatched
    • Claims Processingunmatched
    • Clinical Researchunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Corporate Complianceunmatched
    • Corporate Policiesunmatched
    • Credit Cardsunmatched
    • Credit Processingunmatched
    • Customer Support/Serviceunmatched
    • Data Entryunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Employee Relationsunmatched
    • Establish Prioritiesunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Educationunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • Healthcare Managementunmatched
    • High School Diplomaunmatched
    • Insuranceunmatched
    • Keyboardsunmatched
    • Maintain Complianceunmatched
    • Medical Codingunmatched
    • Medical Equipmentunmatched
    • Medical Protocolsunmatched
    • Medical Recordsunmatched
    • Microsoft Officeunmatched
    • Multitaskingunmatched
    • Office Equipmentunmatched
    • Operational Supportunmatched
    • PC (Personal Computer) Systemsunmatched
    • Payment Postingunmatched
    • Payment Processingunmatched
    • Physical Demandsunmatched
    • Policy Developmentunmatched
    • Power Amplifierunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Procedure Developmentunmatched
    • Record Keepingunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Set Goalsunmatched
    • Technical Researchunmatched
    • The Joint Commission (TJC)unmatched
    • Third-Party Payerunmatched
    • Time Managementunmatched
    • Typingunmatched
    • Willing to Travelunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Resume Builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Resume Builder