Job Information
St. Peters Health Payment Posting And Reconciliation Specialist - Physician Billing Office (1.0 FTE) in Helena, Montana
Responsible for accurately and timely posting of self- pay, insurance payments, related contractual adjustments and denials through 835 electronic remits and/or manual posting method
Address all payments on hold: both in the 835 electronic posting program and hard copy mail checks.
Investigates the source of unidentified payments to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted.
Reconciles shortages on both electronic EOBs and paper remits to determine proper allowance and correct write off.
Analyses EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to insure accuracy of patient balances.
If it is determined insurance did not pay per contract, refer to the correct follow up person for additional action
Enters both electronic, paper and denials and additional information requests from Insurance so it can be pushed over to appropriate teams for follow up
Coordinates shared payments received with other billing systems. Makes sure all batches are labeled so they can tie out to each other.
Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment review can take place
Distributes payment remits, hard copy denials and miscellaneous correspondence to billing teams and Denial Management Coordinator
By end of each day- scans all EOB’s into PDF searchable format, using the correct naming convention. Moves all files to appropriate drive.
By end of each day- makes paper file for all paper EOB’s
By end of each day- scans all batch reconciliation information to appropriate drive to create an appropriate audit trail.
Reconciles EFT lists received from the Finance Department to guarantee all electronic funds received are posted
On a daily bases compile list of deposits sent to bank: send copy to bank with daily deposit, keeps copy for next day to reconcile returned deposit receipt. Works will Bank when discrepancies are found to insure all deposits are appropriately accounted for.
Each day updates all pertinent spreadsheets for auditing and tracking of cash batches/transactions
Handles telephone questions and concerns from customers; ensures complaints and inquiries are recorded and reported to management
Records appropriate, up to date notes in patient accounts, and provides insurance collectors account for follow up.
Updates patient account information as necessary.
Maintain high level of productivity through speed and accuracy
Work with as a team to achieve daily, weekly , monthly deadlines
Performs other duties as assigned