Job Details

Job Description

Manages the posting and reconciliation of all third party, insurance payments, and adjustments to the appropriate patient encounters, non-patient cash, and miscellaneous cash.

Responsibilities

• Posts appropriate insurance adjustments to patient accounts.
  • Posts insurance payments/adjustments manually, electronic remittance, commercial lockbox, and insurance credit card.
  • Posts zero payments from insurance companies; applies insurance to patient accounts when needed.
  • Posts any zero payments with an appropriate ANSI denial code for insurance follow-up.
  • Runs payment transaction detail to ensure balanced deposit.
  • Appropriately assign correct General Ledger account to non AR cash while recognizing credits and debits.
  • Prepares and scans all manual checks, Electronic Remittance Advice (ERA), commercial lockbox, insurance credit card deposits, and EOB's to the document management software.
• Utilizes payer websites to retrieve EOB's.
  • Accesses appropriate websites to retrieve EOB's for insurance credit card deposits.
  • Contacts insurance payers for out-of-balance EOB's, write-off recoveries, and retractions of payments.
  • Balances electronic remittances between Electronic Remittance Advice management software and hospital Accounts Receivable (AR) software.
• Manages general AR cash postings and General ledger account.
  • Runs spreadsheet reports for outstanding items for Accounting.
  • Collaborates with Accounting Department for month-end and fiscal year-end closing.

• High School or GED

• Required: Two (2) years of experience in insurance payment posting, insurance billing, or insurance collections in a healthcare or business setting
• Preferred: Five (5) years of experience in insurance payment posting, cash handling, bank deposit reconciliation, insurance billing, or collections

• Excellent mathematical skills
• Advanced skills in processing hospital insurance processes