Responsible for timely and accurate posting of patient and third party payments.
Other duties as assigned.
Productivity: Interprets, analyzes, and processes daily cash and remittance advices received (within 24 working hours). Determines the appropriate contractual allowances, discounts, other allowances, transaction codes, patient account transfers, and approvals required.
Maintains daily batch controls to ensure that all cash received or adjustments processed were recorded by the computer systems. Reconciles discrepancies.
Reestablishes patient accounts when cash has been received for an account that was previously paid in full or deleted from bad debt.
Addresses all credit balance accounts and processes all refunds within one week of receipt.
Processes bankruptcy notices within one week of receipt.
Reviews and resolves cases posted to cash suspense account within one week of posting.
Maintains current knowledge of hospital policy, department procedures, Wisconsin Uniform Billing regulations (UB04 Manual), HMO/PPO agreements, and other contractual arrangements.
Researches accounts utilizing PFS systems (Affinity, Envision, HBOC, US Bank Payment Consolidator online tool).
Posts payments received on bad debt accounts in accordance with department protocol and communicates appropriate entries for interest and collection expense to General Accounting.
Answers telephone, walk-in inquiries regarding cash posting, and thoroughly researches and responds within 24 working hours.
Performs reconciliation functions as needed.
Two years of business office experience in billing, customer service, or collections in a healthcare environment is required.
High School diploma or equivalent is required.