Patient Accounting Rep I -- Payment Posting

Position Summary / Career Interest:

Cash Office Job Description A. Responsible for main cashier responsibilities as assigned. Accurately maintain change fund, provide change to Hospital departments, and balance change fund after each use. Count into and out of bank before and after each bank use completing paperwork for all cash transactions. Prepare change order to the bank and record Hospital departmental deposits on bank manifest. Facilitate armored courier pick up and drop offs from the bank. B. Provide excellent customer service as liaison with patients making payments at the Cash Office customer service window. Complete payment documentation through cash receipts and daily worksheets. Process credit card payments daily. C. Be proficient at operating the electronic payment system. Responsible for downloading remits, initiating posting program, generating necessary reports and sending electronic remittance advice to imaging system. Analyze remittance advice providing information requested by PFS and to facilitate account resolution. D. Responsible for clerical responsibilities of filing, copying, sending to storage and telephone coverage. Scans daily work into imaging system. E. Provide backup to all other positions as needed. Attend and actively participate in all training and educational opportunities which relate to their position and contribute to their professional growth. Adhere to Hospital policies and procedures and attend all mandatory Hospital trainings. Complete LMS training annually on line and keep updated on JCAHO information. Responsible for all other duties and projects as assigned by Management. F. Review all daily work for accuracy and comprehensive evaluation by double- checking, interpreting and analyzing data. G. Work as a team player with others to achieve collective goals and meet deadlines. Assist in training of new employees and act as a peer mentor. Collaborates with other departments and demonstrates empathy toward patients and their families. Responsible for functions within assigned Patient Financial Services (PFS) department. PFS departments/teams include: -Patient Payment Posting - Cash Handling - Credit Card Processing for payments -Patient Assistance/Customer Service

Responsibilities:

• Posts payments, refunds and adjustments to accounts within designated time frame.
• Completes assigned work queue within designated time frame.
• Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines.
• Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement.
• Identifies consistent fee schedule allowable differences and communicates up line for updating. 
• Communicates payer trends to management.
• Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account.
• Provides additional information or documentation as needed to resolve account.
• Notes actions taken on the accounts and verifies and updates insurance as directed by department policy.
• Completes assigned work queue within designated time frame.
• Processes adjustments on accounts as necessary in compliance with department policy.
• Enrolls, validates and re-validates practitioners’ information with government and commercial payers.
• Updates databases, monitors Medicare, Medicare and Commercial payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports.
• Assists with processing applications in accordance to organization's policy, procedures and health plan requirements.
• Audits provider data to assure accuracy as assigned.
• Communicates roster changes from physician groups.
• Review department specific Epic Charge work queues, make corrections and follow up with departments as needed.
• Review daily Epic charge router reconciliation report make sure all charges are filed and interfaced.
• Assist departments with charge error corrections including duplicate, missing or rejected charges.
• Analyze revenue trending reports and escalate problems to manager and departments as appropriate.

*Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

*Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

JOB REQUIREMENTS

Required:

• High School Diploma or GED

Preferred:

• Epic experience

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.