Remittance Process Analyst​/PA Remit Processing

Location Detail:

9 Farm Springs Rd Farmington (10566)

Flexible HYBRID Schedule

Work where every moment matters.

Every day, more than 40,000 Hartford Health Care colleagues come to work with one thing in common:
Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Under the direction of the Patient Financial Services (PFS) Remit Processing Supervisor and Team Lead, perform duties necessary in posting payments to the proper patient accounts and Financial General Ledger (GL) accounts, via remittances, electronic files and/or checks, and paper files and/or checks in a timely and accurate manner, for multi-entity systems. These duties include the managing of the day-to-day operations for electronic and paper remits, bank Electronic Funds Transfers (EFTs) for the analysis, investigation, and follow up of postings, balancing, transfer payments, missing payments, refunds, and financial reports.

Financial reports include daily, weekly, monthly and fiscal year end reports balancing.

Completes daily offsets to patient accounts in EPIC-Patient Accounts Receivable (AR) system. Balances the daily postings to the offsets. Posts outstanding remittances/explanation of benefits, ensuring deposits are timely. Timely is defined as a period of time set as standard daily work which is set as a team goal.

Reviews all request for payment postings, transfers, posting errors and validation of action needed for potential correction, including utilizing various tools such as system programs, official payer and/or banking websites and phone communication as need be. Works in the Remittance work queues, 7780, 11884, 9956, 152, 9764, to be sure all issues are attended to.

Receives, opens, sorts, prepares large volume of mails for remittance processing. Processes payments via EPIC. Processes manual remits and payments through EPIC system, in a productivity of 45 transactions p/hour. Transactions defined as individual manual items or individual electronic files.

Reviews and analyzes accounts to assure payments/adjustments are posted correctly. Proactively reports on daily outstanding, pending, posted, and external items. Works with billing collectors Hospital Billing (HB) and Professional Billing (PB) to locate unknown payments that cannot be posted. Determines if the payments are postable or need to be refunded.

Works with billing collectors, HB and PB, and other PFS departments to analyze and correct posting issues via the research requests work queues 7780, 9956, 11884 or remits delivered to the Remit Team. Works the 152-work queue for undistributed funds. Works closely with Revenue Cycle Business Analyst 2, Team Lead, and Supervisor for any questions, concerns, training needed to post correctly and timely.

Maintains
10% days out per goals set for the team.

Verifies payments through set workflows or standard work and prepare for posting. Posts electronically or manually. If manually, uses the Onbase system to scan all paper Explanation of Benefits (EOB) into EPIC.

Contributes to meeting the team goals in addition to individual responsibilities, by attending training for new or current workflows that need to be learned, understanding the HHC vision and working towards the same goals, more automation, more lean workflows, and to be as efficient as possible.

Works with outside vendors, i.e., EPIC, Parallon, Cedar, Arcadia, Nair and Levin, PWC, etc. to analyze and correct system issues, upgrades, processing fixes, or assistance with posting.

Responsible for maintaining and retrieving…