Application Specialist Job Philadelphia area,Pennsylvania USA,Accounting

Job Description & How to Apply Below

Position: Payment Application Specialist

Responsible for posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner. Posting can include electronic processing of remittance posting files or manually posting payments from a paper remittance. Assists Departmental Coordinator in researching and resolving outstanding deposits and unidentified or missing payments.

MINIMUM QUALIFICATIONS** :
** EDUCATION, CERTIFICATION, AND/OR LICENSURE:

High School Graduate or equivalent.

PREFERRED QUALIFICATIONS** :
*
* EXPERIENCE:

One (1) year medical billing/medical office experience preferred.

Bookkeeping and cash balancing experience.

CORE

DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

Processes electronic remittances initiating transaction posting in Epic.

Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts.

Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account.

Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel.

Maintains timely and accurate posting according to departmental goals and report to management.

Documents accounts clearly and accurately.

Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department.

Uses system software, including online credit card systems and the Epic system.

Creates, enters, and assigns cash management batches.

Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for

Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments.

Accesses any scanned information via One Content imaging system.

Completes and reconciles bank deposits daily.

Utilizes remittance work queues to resolve payment errors.

Reviews and reconciles all postings monthly with the Departmental Coordinator as needed.

Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.

Researches accounts in work queues with credit or undistributed self-pay balances, and works to resolve these balances by distributing to other outstanding account, refunding another approved facility, or refunding the guarantor.

Investigates insurance over payments and takes appropriate action from within the work queue to resolve the variance.

Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership.

Monitors accounts that fall within out special billing guidelines (i.e. cosmetic, bariatric, IVF, plastics, etc.) to insure pre- payment application is done within a timely manner.

Works with the appropriate accountants to maintain a list of all unclaimed property, and maintain a spreadsheet for submission to the state.

Takes calls from registration and customer service staff experiencing issues with cash drawers, and works to resolve the issues.

Insures all refund requests are received from accounts payable, and processes the checks for submission to third party or guarantor.

Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws.

Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments

Ability to accurately utilize payor portals to initiate over payment recoveries

Identifies missing charges and communicates with appropriate coding manager for re-entry

Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors.

Monitors work queue for inappropriate hospital payments posted to professional billing, and works with appropriate entity for posting.

Assists hospital cashier’s office in locating and resolving missing receipts.

Aids accounting department in reconciling patient payments for the entity in which the receipt was deposited.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an…

Application Specialist

Job Description & How to Apply Below

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