Responsible for daily payment, posting and reconciliation to ensure accurate receivable reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reconciles daily cash and completes deposit slips.
• Balances deposit slips, check tape and reports on daily basis.
• Daily posts, corrects and applies patient and insurance payments including all bill types and corresponding contractual adjustments to patient accounts.
• Codes and posts insurance and patient payments and maintains required records, reports and files.
• Flags any EOBS with a zero payment (denial), highlight the zero payments and pass on to clerical support for photocopying.
• Flag any EOBS that will need a secondary claim and pass onto the clerical support for photocopying.
• Flag any credits, patient and insurance refunds, for processing as per credit balance protocol.
• Post NSF and interest charges.
• Maintains required data bases and patients accounts, reports and files.
• Lists unidentified payments to correct suspense account, documenting transactions to maintain adequate audit trail
• Resolves misdirected payments and returns incorrect payments to sender.
• Codes any zero payments (denial) to appropriate Patient Account Representative for
  follow-up.
• Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of accounts.
• Audits, corrects and balances ERA transactions.
• Answers patient inquiries regarding account balances.
• Prepares/processes credits and patient and insurance refunds.
• Participates in educational activities.
• Maintains strictest confidentiality.
• Performs other duties as assigned.

QUALIFICATIONS

Minimum of two years cash application experience in a health care organization.

KNOWLEDGE, SKILLS & ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be computer literate and possess a working knowledge of insurance and third party payments, financial and statistical reports, Excel and Word processing software.
• Must be skilled in the use of a calculator.
• Must possess the ability to work well with physicians, patients, co-workers, vendors and must be able to clearly communicate with them all.
• Must possess knowledge of medical terminology.
• Must be skilled in using computer programs and a calculator.
• Must possess the ability to handle cash and to count money.

ENVIRONMENT/WORKING CONDITIONS:

Normal office environment. Occasional overtime. Mandatory overtime at month end.