- Preparing patient checks, insurance checks and payment listings for posting, balancing and depositing.
- Posting all payments, contractuals, transfers, combinations and refunds on the data system within a 48-hour window.
- Balancing daily postings and reporting the deposits and postings to the Finance Department.
- Downloading the electronic cash posting remittance advices, preparing the remittance for posting, previewing, posting and running the appropriate reports.
- Investigates the source of unidentified payments to ensure they are applied to the appropriate accounts.
- Investigate deposits without remittances, obtains remittance from the payer and posts the payment.
- As a resource to staff when troubleshooting payment issues. Works to a resolution.
- Researching and resolving payment issues.
- Calculating, reviewing and researching contractuals claimed by third party payors. Works collaboratively with Cash Application/ Contract Management Coordinator to ensure accurate posting.
- Calculating and posting co-pays and deductibles to enable the Pathways Contract Management System to identify payment variances.
- On daily basis, interacting with patients, guarantors, third party administrators, insurance companies, employers and governmental agencies to resolve remittance advice and payment issues.
- Enter insurance billing information and creating insurance logs based on payment explanations.
- Telephoning, receiving, reviewing and sending correspondence and otherwise researching all non-patient cash received to properly determine ownership.
- Identifying, documenting and manually correcting problems with electronic software processes and collaborating with software vendor and Information Systems to resolve posting issues.
- Researching and resolving the lowest possible amount of unapplied cash on a weekly basis.
- Identify NPIs not enrolled in EFT/ERAs and completes the steps to get them enrolled ensuring that payments and remits are coming through as expected.
- Enrolling new sites and providers in EFT/ERAs.
- Notifying payers as needed to ensure that they are sending remits to the correct address.
- Works worklist in Cerner related to this role.
Performs preliminary patient accounts receivable and bank financing functions in accordance with established policies and procedures by:
- Answering account inquiries and resolving questions or problems at the Cashier's window.
- Documenting financial arrangements in the Star system, including payment plans, payroll deductions, and payment problems or variances, including the action taken.
- Reviewing the patient's account, accepting payment and issuing a receipt.
- Setting up patient payment plans, team member payroll deductions, explaining bank financing, determining prompt pay discounts and explaining new Hospital policies regarding payments.
- Obtaining and forwarding to Billing Services all third-party reimbursement information and other data ensuring the prompt and proper billing of patient accounts.
- Forwarding or coordinating the mailing of itemized statements, UB-04 forms, medical records information and other account information.
Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
- Assisting the Patient Accounts Services staff and other departments in the research and resolution of patient account payment posting problems.
- Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
- Leverage innovation everywhere.
- Cultivate human talent.
- Embrace performance improvement.
- Build greatness through accountability.
- Use information to improve and advance.
- Communicate clearly and continuously.
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