Patient Accounting Cash Application Technician (On-Call) Job

Location
St. Paul, MN, 55101
Posted
Aug 30, 2012
Closes
Sep 23, 2012
Category
Accounting
Employment Status
Full Time
Patient Accounting Cash Application Technician (On-Call)

Job ID:: 24749
Department:: Patient Accounting GHI
City:: St. Paul, MN
Location:: HP - St Paul 180 East Fifth
Position Type:: On Call
Anticipated Work Schedule::
Hrs/Pay Period:: 0

Job Description::

The culture at HealthPartners is one of ownership, pride, service, and most importantly, partnership. That spirit of partnership among employees, and with patients and the community is just one of the many reasons we were recently named one of the nation’s “Best Places to Work in Healthcare” by Modern Healthcare magazine. Join us for a career that offers respect, support and encouragement. You’ll stay for the power of partnership.

Our continued growth has created an opportunity for an On-Call Patient Accounting Cash Application Technician. Service excellence is to be centered on patient care and patient relationships and is the responsibility of all employees. Teamwork is the norm and all employees will be held accountable to work as effective team members. This position is responsible for accurate and timely application and reconciliation of deposited payments. Initiates and completes research and resolution of overpayments and erroneous payments. Determines appropriate action to be taken on residual claim balances. Provides an important customer service link to internal and external customers. collections.

HOURS:

This is an on-call position. Days and hours may vary, Monday through Friday, 8:00am to 5:00pm

LOCATIONS:

HealthPartners 180 East Fifth Street Building in St. Paul, MN.

QUALIFICATIONS:

REQUIRED TESTING:

* 10 key test

* Patient Accounting Terminology Test

* 35 wpm typing test

REQUIRED:

* High School Diploma or GED

* Three years experience with automated healthcare billing systems. Must be able to identify and interpret Explanation of Benefits received from Multi Payors and patient payments or Three years medical claims processing or three years experience in posting insurance and patients.

* · Two year customer service experience in a medical office setting

* One year PC and Windows skills

* Knowledge of basic accounting principles

* Must possess strong analytical and quantitative skills

* Three years experience working with insurance terminology, medical coding systems (CPT and ICD9), third party reimbursement procedures and Coordination of Benefits procedures.

* Must be detail oriented and have the ability to organize information

* Good communication skills, written and verbal, to establish and maintain effective working relationships, with internal and external payers and customers

* Ability to work and make decisions independently, perform under deadlines and assume responsibility for problems and problem resolution

* Flexibility – must be able to perform team duties as required to accomplish department goals and meet patient customer needs

PREFERRED:

* Working knowledge of the following Medical systems: DEC/HCSS, Resolute (EPIC) and Medipac.

PHYSICAL REQUIREMENTS:
Ability to see (vision). Normal manual dexterity. Must be able to speak, read and write English fluently. Ability to sit for prolonged periods of time.

ACCOUNTABILITIES:

1. 1. Accountable for researching, applying and reconciling payments for daily lockbox activity including multiple complex payor insurance payments, Patient payments, also credit card payments and miscellaneous payments. Patient Accounting Department goal for lockbox is a one-day backlog.

2. 2. Access and understand necessary information of the various online Multi payor systems this includes: understanding the systems adjudication process in determining how a claim has been paid in order to accurately apply Insurance and Patient payments and adjustments and assists in determining the adjudication of a refund.

3. 3. Responsible for accurate and timely posting of electronic remittance errors and determining next course of action for residual claim balances. (e.g., Blue Cross, HealthPartners, Medicare, Medicaid, and Wausau).

4. 4. Prepare and submit refund request per refund guideline policy and procedure for refunds as needed.

5. 5. Responsible for demonstrating working knowledge of insurance sequencing rules and financial guidelines or laws regulating multiple complex payor medical billing.

6. 6. Responsible for researching and accurately distributing cash receipts with no apparent invoice number, or date-of-service. This includes:

a) Finding the correct account for the cash if there is a valid patient/date of services.

b) Accurately applying payment to correct invoice.

c) Transferring to appropriate department.

d) Generating refund if payment does not belong to HealthPartners or affiliates.

1. 7. Accountable for researching, applying and reconciling payments for inter-company transfers (e.g., Regions, RiverWay, Membership Accounting, Dental, North Suburban and Release of Information).

2. 8. Responsible for knowing and understanding benefit structures provided and administered by HealthPartners, its subsidiaries, and multiple insurance companies.

3. 9. Provides quality customer service for third party payers, members, patients, and attorneys concerning payments and remittances.

4. 10. Re-issue bills and statements when necessary and resubmit to appropriate parties.

5. 11. Responsible for reading, understanding and complying with all departmental and job-specific policies and procedures within the department.

6. 12. Perform demographic and insurance changes as needed on the patient’s account to ensure accurate billing and cash application.

7. 13. Keeps abreast of current information and changes impacting Patient Accounting processes and organizes relevant information for daily reference.

8. 14. Assists in orientation for new Patient Accounting staff. Operates as a member of Patient Accounting Team in support of other staff.

9. 15. Completes assigned projects and duties in a timely manner.

10. 16. Informs management/supervisor of deficiencies/erroneous items or codes in Resolute (billing system) master files.

11. 17. Documents accounts worked according to departmental procedures. Identifies and proposes solutions to problems which contribute to customer dissatisfaction in order to reduce future complaints and errors. Responsible for reading and comprehending various complex Multi Payors Explanation of Benefits to apply payments and adjustments accurately. Requires understanding of co-insurance, deductibles and co-pays.

12. 18. Accountable for calculating proper adjustments and coinsurance per Explanation of Benefits and MultiPayor Listing provided by Corporate Contracting Department.

13. 19. Work with appropriate department/administrative staff to resolve questions and/or issues related to charges based on payments and denials received.

14. 20. Perform other duties as required to accomplish department goals and meet patient needs.

HealthPartners is nationally acclaimed for providing outstanding patient care and we offer an excellent salary and benefits package. HealthPartners is an Equal Opportunity Employer. To see a complete job description and/or to apply for this position, please visit www.healthpartners.jobs, click on job opportunities and search for Job ID #24749.

Health is what we do. Partnership is how we do it.

EOE

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