Job Description
A Brief Overview - 100% Remote
Responsible for the duties and services that are of a support nature to the PFS High Performance Work Teams (HPWT). Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as cash posting, mail processing, document scanning, sorting, assembly, copying, faxing and/or data entry. Ensures that all required financial and account information is secured.
What you will do
- Ensures that PFS standard and requirement of 100% is met and that all payments are retrieved and posted on the date received. • Researches submitted cash payments by verifying patient account numbers and appropriate facility. • Enters all cash receipts and credit card payments to correct accounts and reconciles to batch. • Monitors and performs cash reconciliation to identify cash posting errors. • Reconciles cash payments to daily bank deposits and monthly bank statements.
- Responsible for performing all assigned billing, collections and reimbursement duties with no more than a three (3) day backlog for account checklists and no more than a five (5) day backlog for EOBs to maintain productivity standards.
- Processes medical record and any other requests when necessitated by payers. • Monitors to ensure receipt of records within established target. • Provides management with reports of outstanding requests when targets are not met. • Retrieves EOBs as required.
- Performs support services for departmental associates such as scanning or faxing documents, copying, printing forms, data entry and providing backup to reception area as requested. • Ensures quality standards are met in clerical services performed in accordance with PFS compliance guidelines.
- Documents and forwards incoming mail and resolve any mail related issues or problems • Performs mail retrieval, sorting, distribution and inter-facility delivery duties for all PFS associates.
- Provides thorough, courteous and professional assistance to team members, team leaders, patients, physicians’ offices, insurance companies and other clients. • Works collaboratively and cohesively with team leaders and members to assist in keeping workload evenly distributed. • Coordinates, communicates and assists in monitoring work flow and work tasks as necessary to manage fluctuating volumes. • Provides feedback to team and team leaders to help in identifying process educational, and mediation needs through Management By Fact process. • Attends and participates in daily team briefings, metrics tracking and prompt resolution of Issues, Problems and Opportunities
- Performs other duties and responsibilities as required.
Qualifications
- High School Diploma or equivalent with related course work Required
- At least 1 year experience related billing or clerical experience such as data entry, general office, billing and assembling/filing data, preferably in an insurance, patient accounts, collection or related area Required
- At least 1 year experience Completion of clerical training program may be utilized in lieu of experience Required
Physical Demands
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Lifting - Rarely
- Carrying - Rarely
- Pushing - Rarely
- Pulling - Rarely
- Climbing - Rarely
- Balancing - Rarely
- Stooping - Rarely
- Kneeling - Rarely
- Crouching - Rarely
- Crawling - Rarely
- Reaching - Rarely
- Handling - Occasionally
- Grasping - Occasionally
- Feeling - Rarely
- Talking - Constantly
- Hearing - Constantly
- Repetitive Motions - Frequently
- Eye/Hand/Foot Coordination - Frequently
Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.
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