QUALIFICATIONS Education High school graduate or the equivalent. Experience/Skills Understands hospital and/or physician patient accounting practices Has previous work experience with government and/or managed care insurance Possesses knowledge of third party and government insurance payment behaviors and processes Understands medical terminology and CPT/HCPCS/ICD-10 coding Demonstrates proficiency in Meditech and MS Excel Professionally collaborates with staff at various levels throughout the organization, including, but not limited to: Physician Practices, HIM, Information Systems, Patient Financial Services and Clinical Directors Works efficiently with minimal supervision Required Licenses/Certifications N/A Working Conditions Works in a well-ventilated, well-lit general office environment Works well under pressure with attention to time constraints ROUTINE RESPONSIBILITIES Behavioral Expectations Consistently complies with established Behavioral Expectations Essential Duties Manages daily application of all insurance and patient miscellaneous payments received Prepares daily deposit(s) and manages cash-on-hand for walk-in payments Prepares and maintains daily cash journals Works in conjunction with the Accounting Department to identify/resolve cash journal discrepancies Uses bank statement to reconcile electronic deposits with unposted receivables in order to collect appropriate remittances for posting Reconciles all collected monies with the hospital and Financial Service Center Maintains all files and payer remittances Manages issues impacting file and payment delivery between payer EDI departments and the hospital’s data clearinghouse Manages Credit Balance AR and issues appropriate payer and patient refunds via AP checks and credit card refunds Contacts payer to dispute and/or resolve outstanding issues causing credit balances Maintains AR credit balance no greater than 2% of gross AR discrepancies Monitors and reports trends in payer behavior impacting reimbursement
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED