EOB Payment Processor

## EOB Payment Processor Apply:
Methodist Corporate Office - Omaha, NE:
Full time:
Posted Yesterday:
JR116276
** Why work for Nebraska Methodist Health System?
** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
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* Job Summary:

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* Location:

Methodist Corporate Office  Address: 825 S 169th St.

- Omaha, NE

Work Schedule:

Mon - Fri, 8:00am to 4:30pm    Responsible for all payment processes for insurance and patient pays.
** Responsibilities:**#
** Essential Functions
** 1. Manual payment process for insurance and patient pays.
* Accurately code and prepare all EOB's for manual posting including “0” pays.
* Primary payer manual postings maintained within 48 hours.
* Accurate preparing of patient pays with manual posting in 24 hours.
2. Scanning coversheet process.
* Correct Header to match Batch .
* Correct Date used to match activity/post date.
* EOB column matches with check column.
3. Electronic spreadsheet data maintained.
* Timely input of data from electronic payment reports.
* Daily balancing utilizing on required columns.
* Knowledge of paper trails and future recoupment payments.
4. Correction batches and transfers.
* Correction batches with appropriate description within 48 hours.
* Transfers processed within 48 hours including transfer form and appropriate posting as needed.
* Correction batch and transfer information entered on scanning cover sheet and into electronic spreadsheet.
5. Timely management of EFT's within 48 hours.
* Daily check the EFT spreadsheet for your payer entries.
* Manually post EFT EOB's within 48 hours.
* Correct EFT information when processed to Accounting Balancing Clerk.
6. Timely processing of any paper checks received for posted 835 files.
* Process paper checks received for 835 files within 24 hours.
* Present accurate information to Accounting Balancing Clerk for paper checks.
* Update electronic spreadsheet with paper check receipt date.
7. Maintain work folders.
* Place processed work in correct boxes for balancing and give appropriate batches to scanning department.
* Store pending work in pending work cabinet and communicate is contents to appropriate staff at end of work day.
8. Research missing EOB's or pending checks.
* Follow up on any EOB's not received that match with EFT deposits.
* Follow up on any outstanding check not received that match with 835 file postings.
* Document this information in your pending work communication.
9. Timely processing of Unassigned Account entries.
* Research any 835 entries within 48 hours.
* Follow up with any manual posts within 30 days by doing check request or following regarding incorrect recoupment.
* Document this information in your pending work communication.
10. Process referrals and other duties assigned.
* Process referrals received within 48 hours.
* Process any other duty within the time designated.
* Assist as needed with required testing projects.
* Reporting/Balancing HP24 reports daily.
* Reporting/Balancing Lock Box daily.
* Reviewing and correcting the Split Payment report daily.
* Communicating with VNA and handling all transfers daily.
* Monitors and applies payments to Employee Payroll deductions.
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