[Hiring] ERA Exceptions Posting Specialist @Ventra Health, Inc.

Role Description

The ERA Exceptions Posting Specialist is responsible for researching claim payments as explained in an Electronic Remittance Advice (ERA). These exceptions will be researched and refiled by an appropriate deadline. The specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country.

• Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing.
• Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
• Balances and closes payment batches timely.
• Navigates websites to obtain EOBs.
• Performs special projects and other duties as assigned.

Qualifications

• High School Diploma or Equivalent.
• Two (2) years of experience posting insurance payments in a healthcare setting.
• Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.

Requirements

• Knowledge of insurance payer types.
• Knowledge of Explanation of Benefits (EOB) statements.
• Strong balancing and reconciliation skills.
• Strong 10 Key calculator skills.
• Strong oral, written, and interpersonal communication skills.
• Strong mathematical skills.
• Strong time management skills.
• Strong organizational skills.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to remain flexible and work within a collaborative and fast-paced environment.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

Benefits

• Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
• This position is also eligible for a discretionary incentive bonus in accordance with company policies.