POSITION SUMMARY

Contributes to the organization by posting all forms of payments from all payer sources and ensuring account accuracy of payment details, including adjustments and denials. Also responsible for the reconciliation of daily payments and deposits. This applies to various settings, such as but not limited to ASC, Optical, and Clinic departments/organizations.

ESSENTIAL DUTIES & RESPONSIBILITIES

• 
  Posts all electronic EFTS, credit card, and manually posts incoming mail payments and adjustments daily.
• Contacts the payer and initiates the payment request if not received.
• Performs appropriate follow-up with the payer for payment as applicable.
• Performs weekly allocation of deposits to ensure accurate reporting.
• Monitor denial remark codes.
• Post zero pay EOBS.
• Post manual insurance checks received.
• Post Collection agency payments.
• Post Capitation checks.
• Sorts interoffice mail for payment department.
• Manages the Incoming Faxes to distribute to the doctor's office and business office.
• Posts Patient payment plans.
• Apply Guarantor on Account payment to proper charges.
• Ensures accurate and timely transfer of patient account balances in the system.
• Researches payments in the unidentified file to identify the correct patient account.
• Ensures appropriate enrollment for all electronic payer sources.
• Adheres to all State and Federal regulations and HEA’s RCM policies and procedures.
• Reconciliation for satellite offices:
• Follows-up to ensure timely resolution for cash balance error and bank reconciliation.
• Researches and corrects/apply all transactions relating to unapplied cash.
• Researches and corrects any other cashiering transactions needed.
• Posts and balances batch to tape totals.
• Ensures the timely and accurate processing of all transactions.
• Ensures daily reconciliation of all batch postings to the associated bank deposits.
• Other duties as assigned

PHYSICAL DEMANDS/WORK ENVIRONMENT

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

COMPETENCIES

EDUCATION

High School Diploma or GED equivalent.

POSITION REQUIREMENTS

Strong verbal and written communication skills. Experience with Microsoft Office Suite products. Knowledge of basic healthcare receivables management. Must be versed in general billing and collection guidelines for both government and non-government payer sources. Working knowledge of healthcare compliance related to patient accounting services.

CERTIFICATIONS & LICENSES

Not applicable

EXPERIENCE

Minimum (1) years of collections and/or cash posting experience in a healthcare setting. (i.e. ambulatory surgery center, hospital, doctor's office, optical)