Payment Processor Patient Accounts
- Post and balance cash and checks collected and prepare daily bank deposits
- Maintain cash control in excess of $30 million per month
- Coordinate and process mail or correspondence payments for the same day deposit
- Coordinate and process posting of all electronic 835 and paper/manual transaction remittances
- Keep abreast of all contractual arrangements with third party insurance carriers (HMO's, PPO's, etc.) in order to correctly process insurance remittances
- Note cash discrepancies as outlined in the cash collection policy and procedures to the cash clearing log/GL account
- Coordinate all filing of associated reports and receipts, and maintain detailed record of the unapplied cash account and returned check log
- Answer phones within two rings when possible, and return calls/relay messages in a timely manner
- Greet patients in a timely and professional manner
- Have a working knowledge of Patient Financial Services in order to explain, advise, or collect or post payments on accounts
- Obtain correct and pertinent information from the patient or payer as needed for billing and follow up purposes
- Enter and analyze information in billing system(s) to record action in clear, concise manner, and to make decisions on how to proceed with account(s)
- Make sure appropriate documentation, correspondence, emails, remittances etc. are scanned to the account for accurate documentation of work performed
- Read and understand the explanation of benefits from all payers
- Post accurate patient payments, insurance payments, and make adjustments as appropriate per billing and payment policies and procedures, payer explanation of benefits, or management directive
- Direct questions regarding charging and or care concerns to the manager or director with proper document research and notes
- Complete cross training as deemed necessary by management
- Complete special projects and analysis as assigned in a timely manner as directed by management
- Read and understand patient accounts, human resources, and hospital policies and procedures
- Always display professional and appropriate communications with co-workers, patients, and payers
- Maintain strict confidentiality of all patient financial and hospital information
- Report potential or identified problems with systems, payers, and processes to the manager, providing supporting materials as necessary
- Attend required hospital-wide orientations, meetings, and in-services
- Demonstrate a commitment to flexible work scheduling when necessary to ensure balancing and patient care
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