Req ID: 19702
Employment Status: AF - Active - Regular - Full Time
On a daily basis, assures that all balances are properly reflected in the SMS billing system after remittances from 3 rd party payors are processed. Responsible for deciphering the numerous types of Explanation of Benefits (EOBs) received within the Business Office and accurately and efficiently posting those payments to the billing system. During this review process, must apply knowledge of the reimbursement rates by insurance contracts and bring any variances of payments to the attention of Management Staff.
Handles Lockbox’s/Mail Lists
Researches, analyzes, trends, reconciles, balances, posts payments, $0 denials of lockboxes for hospital generated revenue totaling over 1m within 3 days of receipt of Lockbox/Mail List.
Daily productivity quota, minimum of least 300 accounts posted daily.
Make applicable allowances to outpatient accounts that haven’t been adjusted by the system per payor contract agreement.
Make the necessary financial class changes when applicable to patient accounts.
Prepares refunds within (3) days of receipt of over payment.
Sends out unclaimed letters immediately upon receiving information on unidentified payments. Reconciliation
Reviews and prints daily OAM Cash Reports, reconciling payments posted.
Creates a folder containing balanced OAM, online cash posting report, OAM cash receipts and adjustment report, Cash Journal Sheet, Batch Control Log and Deposit ticket.
Completes deposit ticket along with a tape of the check amount and forwards to Cash Control Coordinator.
Files completed folder in designated area.
Copies remittance advices for In/Outpatient Collectors or Billers.
Creates boxes for EOB’s to be sent to archives for storage. Electronic Report Reconciliation
Responsible for daily balancing of cash posted electronically.
Separates each report and reviews for any posting errors or transaction code errors.
Re-posts any transactions that have error out.
Completes Batch Control Log and files away with completed reports. Credit Card Transactions/Receipts
Transmits credit card transactions for authorization.
Posts payments to applicable accounts.
Completes folder enclosing all applicable paperwork pertaining to credit card transaction.
Develops receipts for self-pay accounts when requested.
5. Performs other duties assigned by Supervisor.
Job Responsibilities (Continued)
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
Required Education and Experience
High School Diploma or GED.
Good communication and interpersonal skills
Flexibility to work overtime as needed/required
Preferred Education, Experience & Cert/Lic
Healthcare and/or claims processing, billing, collections or customer service experience.
Experience in and knowledge of hospital billing systems such as SMS and IDX.
Additional Technical Requirements
Strong proficiency in math and bookkeeping.
Must be customer service oriented.
Previous healthcare experience.
Excellent organizational skills and strong attention to detail.
Proficient with personal computers and data entry such as MS Excel and MS Word.
Ability to work in a high volume production environment.
Ability to work independently, meet specific goals and objectives; proven ability to prioritize.
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.
Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).
Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.
VEVRAA Federal Contractor/Seeking priority referrals for protected veterans. Please contact our hiring official with any referrals or questions.
CHOP Careers Contact
2716 South Street, 6th Floor
Philadelphia, PA 19146