Onsite Accounts Receivable Professional – Payment Specialist

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About the role

  • Accounts Receivable Professional responsible for posting insurance and patient payments at Care New England. Managing account reconciliations and collaborating with accounting departments for accurate reporting.

Responsibilities

  • Responsible for posting insurance and patient payments into all Account Receivable systems.
  • Posting insurance denials into all Account Receivable systems.
  • Appropriately processing insurance and patient refunds in a timely manner.
  • Daily balances all payments entered into the Account Receivable systems.
  • Utilizes balancing procedures to prepare and maintain monthly spreadsheets to provide reporting to Finance Departments.
  • Follows strict guidelines established by CNE when taking contractual adjustments off of gross charges, or writing off a charge or portion of a charge to bad debt.
  • Verifies the accuracy of deposits made by other departments obtained for services.
  • Take appropriate action if deposit is not accurate when applicable.
  • Following established guidelines, utilizes the information system tools to provide an audit trail on each patient account through editing, adding insurance demographics, linking appropriate insurance demographics to charges and etc.
  • Work closely with the Accounting Department to ensure G/L accounts are accurate.
  • Assist with month end reconciliation of G/L entries or deposits when applicable.
  • Work account credits and properly document patient accounts with supporting documentation when needed.
  • Review account overpayments to determine if payment belongs to another account within the CNE system.
  • Make the necessary interfacility transfer and update the appropriate account in the Accounts Receivable system.
  • Works closely with the collectors when addressing payments that are incorrect, to ensure accurate posting of any patient co-payments or deductibles.
  • Properly handles NSF checks that are returned by the bank, properly updates the patients account and sends appropriate documentation to the patient when applicable.
  • Reviews outstanding refund checks and work with accounting to issue stop payment with bank when necessary.
  • Obtain remits via payer sites, edit, review, verify, prepare and reconcile third-party payments to ensure accurate posting.
  • Identify appropriate action to be taken, i.e. financial class changes and posting of co-pays and deductibles.
  • Reviews and reconciles lock box settlements for accuracy.
  • Researches lock box issues as needed through to resolution, coordinating with the other facility payment specialists.
  • Assemble information as needed by the Revenue Cycle.
  • Performs other related duties as assigned.

Requirements

  • High school diploma required.
  • Minimum of six months job related experience or equivalent is required.

Job title

Accounts Receivable Professional – Payment Specialist

Job type

Experience level

Junior

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

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