Ensures control, balancing, and correction of payment posting processes including manual and automated electronic functions. Prepares, distributes, and maintains records of conceptual electronic billing such as updating and editing accounts in computerized system.
Ensures efficient, effective, and increased use of electronic payment from third party payors.
Posts payments, credits, and updates into computerized and manual systems daily. Processes insurance and/or self-pay refunds as necessary.
Investigates and resolves problems with payment vouchers, postings, and remittance errors. Balances vouchers to ensure accuracy of postings.
Assists in processing third party payor applications for EFT/ERA initial & subsequent enrollment. Maintains appropriate records and other related files to ensure currency and system compatibility.
Acts as a system administrator for third party payor websites. Collects information and processes member access ensuring HIPAA compliance as well as conformance with medical center standard practice.
Compiles monthly payment reports. Develops and maintains electronic spreadsheet daily of posted deposits. Conducts audits as directed by departmental supervisors and managers.
Analyzes payment errors. Works closely with departmental managers and billing staff to ensure prompt reconciliation of payments in all areas.
Identifies opportunities to increase the use of electronic billing and remittance processing to and from third party payors. Communicates solutions to leadership to ensure efficient and effective resolution of revenue cycle balances.
Acts as liaison between Patient Financial Services, Finance, Financial Counseling, Information Services, and other designated business associates.
Assists in development of improved remittance processing and development of financial workflows.
Assists with monitoring the consistent receipt of payor files (i.e. 835, EFT, flat file), and related systems to ensure timely and effective processing of payments. Works with insurance carriers and/or vendors to validate EOB, EFT, check, files, and 835's.
- Performs other related duties as required. Utilizes new improvements and/or technology that relate to job assignment.
