Remittance & Adjustments Analyst

Employee Type:
Regular
Work Shift:
Day - 8 hour shift (United States of America)
Join Team Tidelands and help people live better lives through better health!
Position Summary: Responsible for posting payment from Health Plans or Self Pay accounts either manually or electronically. Enters appropriate contractual discounts at the same time.
Responsibilities Include:
• Proofs balancing report and reports trends related to balancing to management.
• Work ad hoc reports to determine next step in billing cycle due to mis-matched buckets.
• Meeting organizational standards for productivity and quality assurance in relation to account follow up.
• Analysis and resolution of payment posting errors including 835 electronic posting rejections.
• Commitment to support Cash Applications in conversion to higher percentage of electronic payment and adjustment posting.
• Ability and willingness to train others in the department in relation to the timely and accurate posting of payments and adjustments.
• Ensure payments and adjustments are posted within two days of receipt.
• Assist in the research and timely resolution of system transaction control errors (TCE) including accountability for root cause identification and resolution through consistent documented feedback loop to respective parties.
• Daily payment and adjustment posting including zero payment posting for all payments received including payments reported received by external vendors or affiliated providers.
• Ensures that remittance advice codes or mnemonics are recorded and updated/saved within the Meditech/eCW related dictionaries to ensure accurate and timely posting of electronic remits.
• Work with various vendors to reconcile cash posting related requests such as pulling EOB's, remit research and payment related disputes.
• Other duties and projects as assigned.
QUALIFICATIONS
Education:
Must meet one of the following:
• High School Diploma with a minimum of three (3) years healthcare patient accounting experience required OR;
• Associates Degree in Business related field and a minimum of one (1) year healthcare patient accounting experience.
Experience:
• Knowledge of Microsoft Word and Excel, required.
• Ability to type 45 words per minute, required.
• Working knowledge of fax machine, calculator, & copier, required.
• Hospital Business Office experience preferred.
• Computation, Posting and follow-up on Insurance remits / EOB, preferred.
• Cashier experience, preferred.
• Medical terminology, preferred
• Accounting experience, required.
Skills:
• Ability to work under tight time schedules required.
Physical Requirements: Light Physical Agility Test (PAT) Rating
While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
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.
Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.