Full Time

Receivables Account Representative/Payment Poster

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The Receivables Account Representative (RAR) is responsible for posting and balancing all payments received after date of service, adding Other Income charges, entering appropriate adjusting and transfer transactions related to payments, documenting actions that need review by others and communicating balancing information to Accounting. RAR also provides clerical and administrative support to insurance carriers, employers, patients, clinics and administrative personnel. Based on business requirements, on occasion, RAR will be expected to perform other duties within the billing office as assigned by Accounting Supervisor-PAC (AS-PAC).

Work Hours:

The normal full-time workweek is 35-40 hours/week, Monday through Friday as scheduled.  Occasional overtime or variation (including evenings and Saturdays) may be required or authorized.

Education & Training:

  • Must have High School diploma or GED
  • Must have one of the following:
    • 2 years of related work experience
    • Certificate in related field plus 1 year related work experience

Essential Knowledge, Skills & Abilities:

  • Must posses good customer service skills
  • Must be organized, detail-oriented and able to adapt quickly to stressful work environment
  • Able to work in team environment, as well as independently
  • Able to communicate effectively in English (grammar, spelling, writing, and verbal skills)
  • Ability to communicate in Spanish helpful
  • Must possess effective reasoning and deductive ability
  • Must be able to read, correctly interpret and follow written guidelines/protocols
  • Must be able to learn and apply new skills
  • Must maintain confidentiality when dealing with medical information
  • Experience using a 10-key adding machine preferred
  • Basic knowledge of private and/or managed care insurance preferred
  • Basic knowledge of CPT and ICD-9 codes preferred
  • Medical software experience required and/or current TMC medical software experience preferred
  • Good computer and keyboarding skills: Microsoft Excel required; Word, Access and Outlook preferred

Essential Job Functions & Duties:

  1. Alphabetizes and files
  2. Creates new files as needed
  3. Pulls receivables
  4. Removes staples and arranges by payor, Explanation of Benefits (EOB) and other posting backup
  1. Separates posting documents (PD) and EOB based on payment source in batches and by date of receipt
  2. Accurately posts receivables by line item from information on PD or EOB
  3. Accurately posts associated transactions (adjustments, transfers, etc.)
  4. Adds any quick notes needed to describe the transactions posted (i.e. applied to deductible, coverage terminated)
  5. Adds Other Income transactions as needed
  6. Researches accounts and documents for correct posting information when PD is unclear or incomplete
  7. Contacts payors when additional information is needed to correctly post payments
  8. Changes visit owner to alert staff that account needs action or reviews (review insurance payment, reports collection payment, returns check payment, etc.)
  9. Creates encounter and posts Medical Record check payments as required
  10. Obtains support for posting occupational payments if required
  1. Runs Balancing Summary and Bank Deposit Report and adds to Occupational reports once all receipts for a day have been posted
  2. Enters totals into balancing spreadsheet
  3. Identifies and corrects problems until report balances
  4. Runs Accounting Receivable detail report
  5. Places all posting documents, balancing tapes and receivable reports in file folder for day
  6. Puts daily folder in Accounting file
  7. E-mails balancing report to Accounting
  1. Interacts with staff members professionally
  2. Follows company policies and procedures (time and attendance, appropriate attire, etc.)
  3. Correctly uses office equipment and time clock
  4. Works safely
  5. Other duties as assigned
  6. Must be punctual and reliable in attendance

Customer Service Skills:

  1. Answers questions from internal and external customers in a professional manner
  2. Responds to requests from internal and external customers in a professional manner
  3. Meets the service expectations of patients
  4. Resolves problems identified by patients
  5. Meets the service expectations of internal customers
  6. Resolves problems identified by internal customers
  7. Meets the service expectations by external customers
  8. Resolves problems identified by external customers
  9. Follows through on commitments
  10. Interacts with co-workers in other departments in a manner that promotes teamwork and facilitates company goals

Working Conditions & Risks:

Work is indoors in a well lighted, and seasonally heated and cooled business office. Job hazards are estimated to be minimal (low risk). Potential risk exists from accidents while using routine office equipment.

Physical Requirements:

Position requires occasional need to lift heavy (30-50lbs) boxes from chest height to floor to chest height. Prolonged sitting, sorting, moving about, and intermitted typing approximately 5-6 hours per day routinely. Good vision, good hearing, and clear speech required (correctable). Repetitive motion consists of extended periods of upper body and upper limb movements (arms, hands, and wrists).

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