Reimbursement Posting Manager

Reimbursement Posting Manager

Job Title : Reimbursement Posting Manager

Position Type : Full-time

Department : Billing

Reports to : Vice President of Reimbursement

FLSA Status : Exempt

Compensation Range / Base Pay : $62,000.00 - $85,000.00

Summary : Clarity Clinic is an interdisciplinary group private practice of Psychiatrists, Psychiatric Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists. Our mission is to thoughtfully guide the whole person on their journey to find clarity and mental wellness by providing exceptional holistic care.

Our staff of Psychiatrists, Advanced Practice Providers and Psychotherapists offer the latest medication, psychological assessment, and therapy treatment as we help guide our patients toward mental wellness and a balanced personal and professional lifestyle. Our team offers a broad range of specialties, services, and orientations to support and help all people regardless of their place in life. This multidisciplinary approach allows us to provide holistic care in psychiatry, psychotherapy, and much more.

The Reimbursement Posting Manager position is responsible for providing direct oversight of staff and review of payments received for services rendered by Clarity Clinic. This position will support the day-to-day processes and initiatives of the cash applications department and represent the employment brand of Clarity Clinic.

Duties / Responsibilities :

• Manage all processes, procedures, and staff in the Cash Application department.
• Audits team members' work for accuracy and efficiency based on performance standards.
• Responsible for creating, maintaining, and balancing the monthly cash log.
• Manage and post patient payments, insurance payments, and contractual adjustments timely and accurately as needed.
• Responsible for retrieving, posting, and reconciling BCBS UPP payments associated with IOP / PHP claims, ensuring accuracy and timely allocation of payments and adjustments.
• Manage the resolution of credit balances and refunds timely and accurately.
• Responsible for performing and depositing patient and insurance checks received from the clinical sites and corporate office, if applicable.
• Responsible for distributing all correspondence and $0 pay EOBs to the reimbursement department for prompt resolution.
• Responsible for managing the reconciliation / balancing of cash posted against daily deposits / bank statements and the cash log.
• Responsible for monthly production deadlines and oversight of the monthly account close, resulting in timely delivery of accurate revenue data to Finance within established time frames.
• Responsible for the set up and management of all eligible insurance and technology vendors to automate and increase productivity within the department (ERA / EFT set up, payer website access etc..).
• Act as a liaison between the Cash Applications and Accounting, Reimbursement Department and Operations to resolve escalated patient account inquiries and discrepancies related to payments allocation.
• Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare, Medicaid, and Commercial insurances.
• Maximize utilization of all available resources while maintaining high levels of quality and customer satisfaction.
• Ensure changes to regulatory, legal, compliance, and audit standards are documented, communicated, and implemented in daily operations along with meeting all compliance and audit requirements for cash posting and credit balances.
• Assist and manage the recruitment, selection, training, orientation, coaching, disciplinary and performance appraisals of appropriate staff members to ensure operational objectives are met.
• Review and manage reports to identify trends, analyze data, and escalate where appropriate to improve performance and meet targeted goals.
• Recommend, develop, and implement guidelines, policies, procedures, and processes to ensure timely, accurate and compliant credit balances and cash posting.
• Maintains effective working relationships with physicians, administration, patients, and other staff members.
• Maintains strict confidentiality regarding patient and practice information.
• Evolve the department through process improvement initiatives.
• Have the ability to prioritize and handle multiple deadlines.
• Performs other duties and tasks assigned.
• Maintains the strictest confidentiality according to the guidelines of company policies.
• Stays abreast of and complies with all state and federal laws including HIPAA, ADA, OSHA, and FLSA.
• Attend meetings as required.
• Participates in development and training activities as required by management.
• Adapt to change in a positive and professional manner.

Minimum Requirements :

Role Competencies :

Physical Requirements : 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to talk or hear or effectively communicate with others. The employee is frequently required to stand; walk; sit and use a keyboard. The employee must occasionally lift and / or move up to 25 pounds.

Other duties : The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

We celebrate diversity when it comes to all backgrounds and identities, and we encourage applications from minorities, LGBTQ+ individuals, candidates of all ages, and nontraditional backgrounds. Clarity Clinic an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.