The PFS Accounts Receivable Posting Representative at Blanchard Valley Health System is responsible for receiving and processing all payments-such as by mail or online-daily. This staff member is expected to accurately post payments and adjustments, resolve potential credit balances, monitor trends, and compile reports for leadership, among other duties. The posting accounts receivable specialist activities support the overall financial health of the organization by ensuring payments are applied to outstanding balances in a timely manner and by identifying variances for further follow-up.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Receives and processes all types of payments for Blanchard Valley Health System by properly documenting and entering transactions into the system, and posts payments promptly. This can include needed research into payments and/or adjustments. Ensures account documentation is accurate.
Duty 2: Prepares bank deposits as needed and accurately in a timely manner. Review bank for lock box payments or any other forms of direct deposits.
Duty 3: Verifies that posted payments align with bank account funds per the reconciliation log. Reconciles shortages on both paper and electronic EOBs to determine proper allowance and correct write-off.
Duty 4: Investigates the source of unidentified payments to ensure they are applied to appropriate accounts.
Duty 5: Identifies and examines underpayments to determine if additional payment can be pursued; Refers accounts as needed to appropriate follow-up department.
Duty 6: Handles telephone questions and concerns from patients, payers, internal/external staff. ensures complaints and inquiries are recorded and reported to Leadership.
Duty 7: Monitors, completes, and maintains appropriate productivity levels of assigned tasks in accordance with team standards.
Duty 8: The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Duty 9: Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection practices. Adheres to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines. Accurately documents all account activity. Regularly attends and actively participates in staff meetings, in-service, and continuing education programs as offered. This provides needed educational updates for compliancy and organizational changes in the healthcare industry.
Duty 10: Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. This could be remote and/or onsite as necessary, per the BVHS remote policy. Assists in other duties and projects as needed assigned by the supervisor and/or manager.
REQUIRED QUALIFICATIONS
High school graduate or GED equivalent
Excellent written and verbal communication with positive oriented interpersonal skills.
Certified Patient Financial Services Specialist certificate to be completed within 12 months of hire date.
2-3 years of experience in medical billing and collections, posting reconciliation, or satisfactory completion of internal cash posting assessment.
Knowledge and experience with Microsoft office products and Window PC functionality
Positive service-oriented interpersonal and communication skills required.
Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures
PREFERRED QUALIFICATIONS
Degree in Accounting, Healthcare Administration, or related field, and/or relevant work experience.
Medical terminology
ICD 10 and/or CPT coding knowledge
PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent bending, squatting, kneeling, and twisting. The associate must be able to sit for three hours, walk for one hour and stand for two hours per day. The associate must be able to lift 20 pounds. The individual must have excellent eye/hand coordination to operate the machines. This position requires corrected vision and hearing in the normal range.