Day (United States of America)Patient Accounting Representative I - Reimbursement Payment PosterAssociate's Degree in Accounting, Business Administration, Finance or at least two (2) years in a related field which can be substituted for a degree.
Preferred minimum of two (2) years of healthcare experience in the area of reimbursement methodologies including managed care contracts, Medicaid and Medicare.
Preferred knowledge of electronic remittance posting, interpretation of explanation of benefits, cash applications and batch posting processes.
Preferred knowledge in third party billing and collections in a hospital setting.
Excellent analytical, communication and organizational skills with strong attention to detail.
Self-starter with the ability to work with minimal supervision.
Proficient PC skills including Microsoft Outlook, Word and Excel.
Must be able to function and meet deadlines under stressful conditions and prioritize work flow.
* Timely and accurate posting, adjusting and reconciling of funds received via lockbox payments, electronic funds transfers and mail with posting accuracy of 99% or greater.
* Forwards potential third party or patient refunds to the Refund Specialist based on credit balances created from payments and/or adjustments posted to patient's accounts.
* Responds to system or manual tasks in a timely manner.
* Prepares daily reconciliation of cash posting to Accounting Department.
* Applies payroll deductions within 48 hours of receipt.
* Applies payments and adjustments not completed by electronic remittance posting.
* Prepares remote bank deposits and processes credit card transactions daily with 100% accuracy.
* Correctly identifies remittance codes and applies them to individual patient's accounts as received by insurance companies. Validate, track and trend remittance codes for process improvement.
* Correctly identifies underpaid claims in accordance with hospital insurance contracts by applying underpayment codes correctly to patient's accounts, based off information received by insurance companies.
* Post insurance payments to the correct insurance plans as identified by hospital contracts. Updates patient accounts with corrected insurance plans. Track and trend insurance plan errors and forward to registration areas for improvement.
* Performs research related to unidentified payments received to determine the appropriate accounts for posting.
* Review and complete correspondence and faxes in a timely manner.
* Contributes to effective working relationships by demonstrating a positive and helpful attitude with co-workers.
* Maintains privacy strictly adhering to HIPAA guidelines.
* Performs other duties as assigned.