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
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