Full employer posting
Under direct supervision of the Patient Accounts Supervisor, the incumbent is responsible for the timely and accurate data entry of manual and/or 835 auto-posting revenue-related cash receipts (e.g. government, commercial, private payers and patient payments) into the AR system with ability to trend and communicate discrepancies and areas of attention/improvement. Work is performed in accordance with established standards/guidelines and requires knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues.
Must consistently med the Quality Assurance and Productivity standards established for the position. Principle Duties and Responsibilities The following section contains representative examples of job duties that might be performed in positions allocated to this job class. Union General Health System is a dynamic organization and the environment can be fluid.
Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as the primary responsibilities are consistent with the work described.
Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto. Ensures cash is posted accurately and timely in accordance with the Union General Health System CBO cash processing standards to relieve outstanding receivables. Prepares source documents, i.e. lock box, patient portal, mail/fax payments, etc. received the previous day, meeting daily quota guidelines with minimal errors.
Accurately and timely post revenue-related AR cash receipts, approved adjustments and/or denials. Download 835 files as needed from clearinghouse/websites and upload into billing system. Ensure that ACH treasury deposits and EFT EOB’s match and reconcile during posting to ensure a clean reconciliation process.
Works all posting rejections daily to ensure posting batch balances. Ensures all unidentified cash and checks are researched timely to identify the appropriate patient account, including contacting the source of payment to procure additional information to allow for accurate identification and posting of payment. Unidentified cash is to be resolved on a weekly basis.
Reviews reconciliation sheets to ensure all cash, lock box and deposits are reconciled, posted and balance to the bank deposits. Generates daily balancing reports and reviews/corrects discrepancies prior to day close. Ensures all posting batches are balanced.
Understands and refers to managed care profiles and other tools necessary to determine proper insurance payments/contractuals. Works up and posts zero pay EOB’s daily. Research, track and trend payment discrepancies and communicate trends and/or items requiring attention.
Works with internal and external customer to resolve payment-posting discrepancies by taking appropriate action (transferring, reversal, etc.). Meets all productivity/quality guidelines established for this position. Participates in mid-month and month-end balance/reconciliation as assigned by Supervisor.
Maintains daily close schedule as coordinated by Supervisor. Knowledge, Skills, Abilities Proficient in Microsoft Office products, specifically Excel. High school graduate or equivalent/some college course work is preferred.
One to two years work related experience that demonstrates attainment of the requisite job knowledge and abilities. Excellent keyboarding and 10-key skills are required. Strong computer and math skills.
Basic knowledge of payor guidelines relative to reimbursement. Accurate data entry skills. Knowledge of and experience with automated billing systems.
Bookkeeping knowledge sufficient to reconcile and balance cash transactions. Clerical and analytical ability to be self-sufficient in performing duties and maintaining confidential records. Excellent oral and written communication skills with ability to communicate effectively by phone or in person.
Proficient knowledge of Federal/State billing regulations/guidelines.
About the role
Under direct supervision of the Patient Accounts Supervisor, the incumbent is responsible for the timely and accurate data entry of manual and/or 835 auto-posting revenue-related cash receipts (e.g. government, commercial, private payers and patient payments) into the AR system with ability to trend and communicate discrepancies and areas of attention/improvement.