Accurately review and process all third party payor, collection agency, patient, and other payments for both Hospital and Physicians.

PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)

1. Receives and processes third party payor, agency and patient checks and identifies appropriate hospital accounts/physician accounts/GL to ensure accurate application of payments received on a daily basis.


2. Receives and verifies the system-to-system electronic payment file for 835 payers, and lockbox to ensure accurate application of payments for hospital and physician.


3. Investigate and resubmit rejections from payment/lockbox file through on-line cash posting or correction of electronic file.


4. Ensure undistributed accounts are cleared and only used as a temporary holding place.


5. Codes accounts for unit billing payments, deductibles, coinsurance, co-pay, etc., for contract management system.


6. Copies live checks/cash received via incoming mail daily, running tape and preparing deposit for bank.


7. Balance out checks/cash received against receipts and submit for reconciliation and deposit to the bank.


8. Copies live checks/cash received from physician offices daily, running tape and balance out against reports.


9. Submit for deposit to bank.


10. Receives, verifies, and processes credit card payments.


11. Maintains workques for both hospital and physician.

JOB SPECIFICATIONS(Minimum Requirements)

KNOWLEDGE, SKILLS, AND ABILITIES

• 95% Accuracy rate must be maintained.
• 58 Transactions must be input per hour for manual posting.
• Unposted transactions must be recorded in Excel daily.
• Non Account Receivable money must be reported to Finance daily.
• Unidentified cash must be followed up weekly until resolved.
• Cash Trending Spreadsheets must be updated daily.
• Cash must be balanced daily Knowledge of UB-92 and 1500 billing preferred.
• Must have working knowledge of insurance claim filing, collections, and established refund processing procedures.
• Ability to prioritize job functions, work independently and exercise good judgment.
• Must possess good written and verbal communication skills.
• Must possess good organizational/analytical skills and mathematical aptitude.
• Proficient use of calculator and minimum typing (55 wpm).
• Basic personal computer skills.

EDUCATION

• Associate degree or equivalent hours preferred or a minimum of a high school diploma or GED.
• High School Diploma/GED Equivalent Required
• Associates Business Administration Preferred
• Six or more years in medical business or healthcare insurance office or equivalent combination of education and relevant work experience.
• 6 Healthcare/Medical - Business Office Required

STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.

CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.

DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.