Kforce Payment Poster in San Antonio, Texas

Kforce has a client seeking a Payment Poster in San Antonio, TX.Responsibilities:

  • Post insurance payments and insurance supplement payments

  • Setup and maintain capitation payment accounts following standard guidelines for account name, account type, and insurance record

  • Monitor capitation payment accounts to ensure balance remains zero (both patient and insurance)

  • Follow-up on missing payments to resolution

  • Notify director/manager of significant changes in capitation due to plan changes or employer group changes

  • Post unidentified payments to appropriate account

  • Research unidentified payments and resolve issues within 30 days of receipt

  • Post patient statement and collection letter payments

  • Post ACH payments

  • Adjudicate claim payments and process adjustment per insurance carrier Explanation of Benefits (EOB) up to approved amounts

  • Write up adjustments over approved amounts and provide to manager for review and approval

  • Enter notes in patient's ledger and claim systems; providing details regarding payment denial, short pay or patient copay responsibility

  • Will be posting to 120 patient accounts per day

  • Need to understand EOB's so they can adjudicate and adjust payments as necessary and correctly

  • Will be posting checks, and ACH

  • High School diploma or GED/equivalent required

  • Dental office/industry experience a plus, not a must

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:Hours