Job Details

Position Summary:

Responsible for all facets of payment posting including applying remittances to patient accounts by posting to accounts receivable (A/R). Employee must have solid understanding of debit/credits postings. Strong analytical skills, the ability to work unsupervised, proficient in Microsoft Excel, a strong attention to detail and exceptional work ethic

This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. Also required is a strong working knowledge of CPT, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge OSHA and HIPAA guidelines.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

• Review daily deposit report and post money appropriately
• Post deposit and reconcile EOBs before close of business day
• Download available EOBs for future payments and keep an accurate count of expected payments
• Scanning and indexing EOB's to patient accounts
• Research underpayments and over payments, and completes tasks to balance out the account
• Balance cash posted in HCS to bank reconciliation daily/weekly/monthly to ensure accurate cash reported each month, maintaining cash log
• Researching unidentified payments and/or recoupments to determine correct transaction.
• Upload Physician charges to IDS daily
• Ensures documentation meets current standards and policies
• Balance Census & Cash daily.
• Input IOP and PHP charges daily
• Follow all policies and procedures as outlined by the company and/or according to HIPPA regulations.
• Demonstrates the ability to be flexible, organized and function well in stressful situations.
• Maintains a good working relationship within the department and with other departments.
• Answers the telephone in a polite manner. Communicates information to the appropriate staff.
• Perform other duties as assigned.

Safety (15% of performance review)

• Strives to create a safe, healing environment for patients and family members
• Follows all safety rules while on the job.
• Reports near misses, as well as errors and accidents promptly.
• Corrects minor safety hazards.
• Communicates with peers and management regarding any hazards identified in the workplace.
• Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
• Participates in quality projects, as assigned, and supports quality initiatives.
• Supports and maintains a culture of safety and quality.

Teamwork (15% of performance review)

• Works well with others in a spirit of teamwork and cooperation.
• Responds willingly to colleagues and serves as an active part of the hospital team.
• Builds collaborative relationships with patients, families, staff, and physicians.
• The ability to retrieve, communicate, and present data and information both verbally and in writing as required
• Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
• Demonstrates adequate skills in all forms of communication.
• Adheres to the Standards of Behavior

Integrity (15% of performance review)

• Strives to always do the right thing for the patient, coworkers, and the hospital
• Adheres to established standards, policies, procedures, protocols, and laws.
• Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
• Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
• Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
• Exemplifies professionalism through good attendance and positive attitude, at all times.
• Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
• Ensures proper documentation in all position activities, following federal and state guidelines.

Compassion (15% of performance review)

• Demonstrates accountability for ensuring the highest quality patient care for patients.
• Willingness to be accepting of those in need, and to extend a helping hand
• Desire to go above and beyond for others
• Understanding and accepting of cultural diversity and differences

Education

• Required: High school diploma or GED.
• Preferred: Bachelors degree in a healthcare or business-related field
• May substitute experience for education

Experience

• Required: One to two years previous experience in a hospital setting. Knowledge of insurance payor rules and regulations, and basic medical terminology.
• Preferred: Experience with HIPPA regulated environment, processing ICD10 CPT/HCPCs, EOBs, third party payers, Medicare, managed care and private pay. Understanding of Behavioral health treatment modalities preferred. Working experience in HCS HER system a plus
• May substitute education for experience.