1. Analyzing and Processing Electronic Remittances: Receives, processes and balances electronic remittances daily to ensure proper and timely application of these transactions. 1.1 Accesses remittance file from appropriate clearing houses. 2. Analyzing and Processing Payments via Insurance Lockbox: Receives, processes and balances payments from insurance lockbox to ensure proper and timely application of these transactions to the appropriate accounts in Epic. 2.1 On a daily basis, retrieves tran... more details
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Processes and records all monetary transactions within the hospitals to ensure accurate cash flow for each institution. Maintains smooth internal and external communication to ensure positive customer relations and timely application of all transactions. Performs a variety of duties necessary to ensure that all transactions are correctly applied to each account. Analyzes, processes, and balances all payments received for patient accounts. EEO/AA/Disability/Veteran Responsibilities 1. Analyzing and Processing Electronic Remittances: Receives, processes and balances electronic remittances daily to ensure proper and timely application of these transactions. 1.1 Accesses remittance file from appropriate clearing houses. 2. Analyzing and Processing Payments via Insurance Lockbox: Receives, processes and balances payments from insurance lockbox to ensure proper and timely application of these transactions to the appropriate accounts in Epic. 2.1 On a daily basis, retrieves transaction sheets from the lockbox website. 3. Patient Payments: Processes payments via patient lockbox and self-service/point of service on-line portal for each hospital and corporate accounts. 3.1 Runs daily reports from patient lockbox site and processes daily corresponding posting file. 4. Undistributed Work Queue Functions: On a daily basis, works the undistributed work queue by analyzing each account to ensure proper application of payments. 4.1 Identifies those transactions that were posted to the undistributed bucket on a patient's account to be worked. 5. Computer Systems: Demonstrates a thorough understanding of the Epic system and other related systems in order to perform all job duties including batch processing. 5.1 Uses extensive knowledge of Epic system to correctly identify interfaces that affect batches. 6. Main Deposit: Demonstrates a thorough understanding of all procedures to compile the main deposit. 6.1 Responsible for creating a reconciliation sheet for all items processed daily. 7. Safekeeping: Receives, verifies and records all safekeeping bags on a daily basis to ensure proper handling of patient's belongings. 7.1 Maintains a legible logbook with an index and records all safekeeping numbers in numeric sequence. 8. Window Transactions: Receives, processes, balances and records all monetary transactions from the window to ensure a timely (daily) application of all transactions. Responds to questions from the public and provides coin needs to the hospital while always maintaining a high security environment. 8.1 Responds to routine questions relating to hospital information. Qualifications EDUCATION High school graduate with business or accounting related courses. Associate's degree in a business related field preferred, or equivalent work experience. EXPERIENCE One (1) to two (2) years of third party claims management experience in a computerized hospital/healthcare revenue cycle environment, preferably Epic. With emphasis on application of cash transactions. Banking experience will be considered. Experience should include use of Microsoft Office applications with emphasis on Excel. SPECIAL SKILLS Excellent analytical and mathematical skills with a high degree of accuracy. Ability to perform detailed analysis quickly and accurately. Intermediate knowledge of Excel is required. Ability to communicate effectively both written and verbally. Working knowledge of third party insurance carriers and how they are reimbursed is preferred. YNHHS Requisition ID 124629
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