Remittance – Batch Control Specialist
Overall Position Description:
The Batch Control Specialist role is to ensure appropriate batch creation from clients as well as to manage the processing of all remitted insurance and patient payments into the CareCloud system payment posting department. The ideal candidate will monitor process compliance for batch creation across multiple lines of services, monitor and validate batch reconciliation process on posted transactions, ensure that there are not unapplied payments, and maintain a high level of accuracy across the accounts served by CareCloud. Additionally, the candidate must be familiar with Insurance Explanation of Benefits and excellent data entry skills.
Primary Objective:
Monitor and reconcile completed work from payment posting department, as well as assist in maintaining the remittance posting inventory for the department on batches that required additional information for accurate posting. Support Batch Control Supervisor to ensure our service level agreement is maintained, and post payments accurately and within designated timeframes as set by Company standards.
General Areas of Responsibility:
Maintain and update master list of payer log-in information for Concierge clients in order to increase turnaround times (TAT) on payment batches
Request from Collector Lead or Client Manager missing information from partially posted batches as needed
Check for accuracy in reported batches by the payment posting staff on the Remittance Request Form
Assist as needed on previously posted transactions from manual batches and Electronic Remittance Advice (ERA) investigation. Investigate and search in Easy Print or CareCloud system to determine if they are previously posted. Provide feedback to assigned payment poster as needed
Investigate requests from collections department on patient transactions and payments where a discrepancy may exist from posted transactions
Delete, modify or post batches with previous authorization (Practice and/or Department Lead)
Keep track of saved batches to ensure department service level agreement (SLA) is met. Report to Batch Control Supervisor and Department Lead saved batches that are complete and in saved status without resolution
Required Knowledge, Skills and Abilities:
Deep knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance and deductibles, and contractual adjustments
Vast experience and understanding of current transaction posting applications in a multi-facility environment
Excellent oral and written communication skills
Must be able to perform in a high volume and fast-paced environment
Ability to draw conclusions from data and propose recommendations for management consideration
Strong data entry and typing skills
Must pay high attention to detail
Computer knowledge and ability to self-serve
Qualifications:
Minimum of five (5) years of experience in remittance payment posting
Strong knowledge of E/M, ICD-9, CPT’s, and HCPS codes
Minimum Education: High School degree or equivalent
Proficiency in Microsoft Office suite including Excel and Word, Google tools