JOB SUMMARY
Retrieve and prepare all electronic insurance remittances and prep them for posting to accounts utilizing Quadax and MS4/Soarian patient accounting system. Process all paper remittances and key into the patient accounting system. Maintain a reconciliation of all remits and posted payments to the AR balance. This position reports to the Cash Posting Supervisor and the Director of the Finance/Accounting.
Requirements:JOB REQUIREMENTS
Minimum Education
- High School Diploma or equivalent is required.
Minimum Work Experience
- Prior insurance experience preferred, but not required.
- On the job training will be provided.
Required Skills
- Communication skills required
- Computer skills required
FUNCTIONAL DEMANDS
Physical Requirements
Sitting - = 32%
Walking - 1 – 15%
Standing - 1 – 15%
Bending/Squatting - 1-15%
Climbing/Kneeling - 1-15%
Twisting - 1-15%
OSHA Category
Minimal potential for direct exposures.
Visual and Hearing Requirements
Must be able to see with corrective eye wear.
Must be able to hear clearly with assistance.
Other Physical/Environmental Demands
Lifting - 0-50lbs, 50lbs or more with assistance
Carrying - 0-50lbs, 50lbs or more with assistance
Pulling - up to 100lbs
Pushing - up to 100lbs
ESSENTIAL FUNCTIONS
- Verifies tape which was run by the Cashier/Mail Clerk, on all insurance remittances.
- Verifies all patient account numbers on remittances and makes all needed corrections.
- Enters credit notes detailing the amounts that are the patients’ responsibilities, deductibles, and co-payments.
- Prepares and figures all needed discounts and allowances.
- Copies and sends all denials to the insurance follow-up clerks.
- Daily and monthly balancing of all transactions related to cash
- Post all adjustments and denials received from all areas within one day.
- Maintain and update the web based credit card software to ensure that all credit card payments are processed daily.
- Maintain and update the web based credit card software to ensure that all credit card payments are processed daily.
- Assists insurance billing clerks, as needed.
- Assist in maintaining Soarian work-list assigned to Cash Management Team.
- Maintain a log / batches of daily cash posting both paper and electronic remits.
- Any other duties as assigned.
ORGANIZATIONAL EXPECTATIONS
T.J Pledge
I Will Show Compassion
- see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.
- recognize that each and every interaction I have at T.J. Regional Health matters
- show kindness and compassion towards my customers at all times
- be sensitive to the personal and private needs of every customer
I Will Cooperate With Others
- maintain zero tolerance for abusive behavior
- listen and be willing to accept fault when I make a mistake
- never underestimate the power of an apology
- refrain from blame and judgment
- bring a sense of calm to stressful situations
I Will Collaborate With Others
- value myself and every coworker as an equal part of one GREAT team working together
- treat others in a way that I would like to be treated
- participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health
- foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults
- speak honestly, seek truth, and act with integrity towards my teammates
- value the uniqueness and expertise that each team member contributes to the whole
- meet the need of the moment, regardless of whether or not it is considered part of my job
I Will Communicate
-smile - at everyone
- always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction
- follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away
- escort any customer in need (visitors, patients) to their destination
I Will Adapt To Change
- be a part of the solution when I am presented with a challenge
- embrace change and set the example for those around me
- accept openly when there are changes that T.J. Regional and/or I have no control over
- manage the expectations of others by explaining duration and next steps as often as needed
I Will Be A Champion
- serve with passion
- view myself as an owner of T.J. Regional Health and act accordingly
- take responsibility for the physical appearance of T.J. Regional Health, including my work area
- go out of my way to daily thank and compliment my customers and coworkers
- dare to make a difference and be exceptional
- constantly try to improve myself and T.J. Regional Health
- speak positively about T.J. Regional, while at work and in public places outside of work