Payment Application Specialist
- Full-Time
- Morgantown, WV
- West Virginia University Hospital
- Posted 2 years ago – Accepting applications
Job Description
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:
1.
High School Graduate or equivalent.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1.
One (1) year medical billing/medical
office experience preferred.
2.
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.
1.
Processes electronic remittances
initiating transaction posting in Epic.
2.
Works transactions that do not post
correctly to ensure that transactions route to the appropriate accounts.
3.
Identifies any unidentified payment
transactions that route to the clearing account, following facility processes
to move non-patient money to correct general ledger account.
4.
Balances postings to bank deposits
utilizing provided technical tools in Epic and via Microsoft Excel.
5.
Maintains timely and accurate posting
according to departmental goals and report to management.
6.
Documents accounts clearly and
accurately.
7.
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.
8.
Uses system software, including online
credit card systems and the Epic system.
9.
Creates, enters, and assigns cash
management batches.
10.
Opens and distributes mail received
from the post office and financial institutions for the various entities
services are billed for
11.
Contacts the appropriate third party
payors, business entities, or financial institutions to resolve unidentified
or missing payments.
12.
Accesses any scanned information via
One Content imaging system.
13.
Completes and reconciles bank deposits
daily.
14.
Utilizes remittance work queues to
resolve payment errors.
15.
Reviews and reconciles all postings
monthly with the Departmental Coordinator as needed.
16.
Participates in educational programs
to meet mandatory requirements and identified needs with regard to job and
personal growth.
17.
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.
18.
Investigates insurance overpayments
and takes appropriate action from within the work queue to resolve the
variance.
19.
Processes refund requests received from
third party payors, clinical departments, other areas of Revenue Cycle, and
leadership.
20.
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.
21.
Works with the appropriate accountants
to maintain a list of all unclaimed property, and maintain a spreadsheet for
submission to the state.
22.
Takes calls from registration and
customer service staff experiencing issues with cash drawers, and works to
resolve the issues.
23.
Insures all refund requests are
received from accounts payable, and processes the checks for submission to
third party or guarantor.
24.
Maintains current knowledge of payor
payment provisions and all local, state, and federal collection laws.
25.
Contacts insurance company or employer
to determine eligibility, benefits, and payment information necessary to
refund or distribute payments
26.
Ability to accurately utilize payor
portals to initiate overpayment recoveries
27.
Identifies missing charges and
communicates with appropriate coding manager for re-entry
28.
Completes reports assigned by Revenue
Cycle leadership for bulk refunds to third party payors.
29.
Monitors work queue for inappropriate
hospital payments posted to professional billing, and works with appropriate
entity for posting.
30.
Assists hospital cashiers office in
locating and resolving missing receipts.
31.
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 employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
1.
Must be able to sit for extended periods of
time.
2.
Must have reading and comprehension ability.
3.
Visual acuity must be within normal range.
4.
Must have manual dexterity to operate
keyboards, fax machines, telephones and other business equipment.
WORKING
ENVIRONMENT: The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
1.
Office type environment.
SKILLS
AND ABILITIES:
1.
Excellent oral and written
communication skills.
2.
Knowledge of medical terminology preferred.
3.
Knowledge of third party payers preferred.
4.
Knowledge of business math preferred.
5.
Knowledge of ICD-10 and CPT coding processes
preferred.
6.
Excellent customer service and telephone
etiquette.
7.
Ability to use tact and diplomacy in dealing
with others.
8.
Knowledge of patient accounting
principles and procedures.
9.
Working knowledge of computers.
10.
Maintains knowledge of current online
banking systems.
Date
Reviewed/Revised: January 2019
Apply to this Job
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:
1.
High School Graduate or equivalent.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1.
One (1) year medical billing/medical
office experience preferred.
2.
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.
1.
Processes electronic remittances
initiating transaction posting in Epic.
2.
Works transactions that do not post
correctly to ensure that transactions route to the appropriate accounts.
3.
Identifies any unidentified payment
transactions that route to the clearing account, following facility processes
to move non-patient money to correct general ledger account.
4.
Balances postings to bank deposits
utilizing provided technical tools in Epic and via Microsoft Excel.
5.
Maintains timely and accurate posting
according to departmental goals and report to management.
6.
Documents accounts clearly and
accurately.
7.
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.
8.
Uses system software, including online
credit card systems and the Epic system.
9.
Creates, enters, and assigns cash
management batches.
10.
Opens and distributes mail received
from the post office and financial institutions for the various entities
services are billed for
11.
Contacts the appropriate third party
payors, business entities, or financial institutions to resolve unidentified
or missing payments.
12.
Accesses any scanned information via
One Content imaging system.
13.
Completes and reconciles bank deposits
daily.
14.
Utilizes remittance work queues to
resolve payment errors.
15.
Reviews and reconciles all postings
monthly with the Departmental Coordinator as needed.
16.
Participates in educational programs
to meet mandatory requirements and identified needs with regard to job and
personal growth.
17.
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.
18.
Investigates insurance overpayments
and takes appropriate action from within the work queue to resolve the
variance.
19.
Processes refund requests received from
third party payors, clinical departments, other areas of Revenue Cycle, and
leadership.
20.
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.
21.
Works with the appropriate accountants
to maintain a list of all unclaimed property, and maintain a spreadsheet for
submission to the state.
22.
Takes calls from registration and
customer service staff experiencing issues with cash drawers, and works to
resolve the issues.
23.
Insures all refund requests are
received from accounts payable, and processes the checks for submission to
third party or guarantor.
24.
Maintains current knowledge of payor
payment provisions and all local, state, and federal collection laws.
25.
Contacts insurance company or employer
to determine eligibility, benefits, and payment information necessary to
refund or distribute payments
26.
Ability to accurately utilize payor
portals to initiate overpayment recoveries
27.
Identifies missing charges and
communicates with appropriate coding manager for re-entry
28.
Completes reports assigned by Revenue
Cycle leadership for bulk refunds to third party payors.
29.
Monitors work queue for inappropriate
hospital payments posted to professional billing, and works with appropriate
entity for posting.
30.
Assists hospital cashiers office in
locating and resolving missing receipts.
31.
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 employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
1.
Must be able to sit for extended periods of
time.
2.
Must have reading and comprehension ability.
3.
Visual acuity must be within normal range.
4.
Must have manual dexterity to operate
keyboards, fax machines, telephones and other business equipment.
WORKING
ENVIRONMENT: The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
1.
Office type environment.
SKILLS
AND ABILITIES:
1.
Excellent oral and written
communication skills.
2.
Knowledge of medical terminology preferred.
3.
Knowledge of third party payers preferred.
4.
Knowledge of business math preferred.
5.
Knowledge of ICD-10 and CPT coding processes
preferred.
6.
Excellent customer service and telephone
etiquette.
7.
Ability to use tact and diplomacy in dealing
with others.
8.
Knowledge of patient accounting
principles and procedures.
9.
Working knowledge of computers.
10.
Maintains knowledge of current online
banking systems.
Date
Reviewed/Revised: January 2019