Payment Posting Specialist-Clerical Support PFS - Tahoe Forest Health System : Job Details

Bargaining Unit:EARate of Pay:$23.94 + DOESummaryPerforms various complex clerical tasks utilizing knowledge of office systems and procedures, facility regulations, and interdepartmental functions.Responsible for accurate daily cash posting of all Patient Account Receivables and General Ledgers receipts when directed. Performs other cash control, reporting, and analysis functions.Essential Duties and Responsibilities

• Works in the US Bank system to scan and/or index Explanation of Benefits (EOBs) to distribute electronically to the Patient Account Representatives.
• Scans refund back-up into Real Vision Software (RVI) for PFS Refund/Denial Specialist.
• Distributes payer correspondence, if it comes by mail or in US Bank, to distribute to correct PFS Cash Poster or PFS Patient Account Representative on a daily basis.
• Opens and prepares daily mail that is allocated to go FedEx to US Bank lockbox.
• Assists with and processes legal document requests from Health Information Management (HIM) for itemized bills.
• Assists with posting zero correspondence and EOBs identified during the correspondence conversion process having a non-matching bad account number.
• Assists with moving mail to proper areas in the health system.
• Assists Refund/Denial Specialists, including sending out refund checks.
• Receives and processes all types of payments for Tahoe Forest Health System by properly documenting and entering transactions into the systems promptly as assigned by the Payment Posting Lead &/or the PFS Manager.
• Prepares batches, posts, and processes payment batches; post denials, contractual adjustments, and ensures all batches are in balance.
• Analyzes EOB/RA information, including co-pays, deductibles, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances.
• Posts batched payments to patient account(s) & GL account(s) when directed by Payment Posting Lead &/or the PFS Manager within one (1) business day of receipt.
• Investigates the source of unidentified payments from unable accounts to ensure they are applied to appropriate accounts within seven (7) calendar days. Maintains tracking & logging systems as necessary to follow up.
• Maintains a 98.9% or higher accuracy rate for daily cash postings & balancing purposes.
• Researches & resolves any cash incorrect posting and/or deposits within two (2) business days.
• Maintain log sheets & transfer of information to other outside departments in a timely manner.
• Maintains daily cashier reconciliation and reports any discrepancies to management.
• Develops & maintains all necessary spreadsheets for pertinent cash receipt information as needed by PFS Manager, Revenue Cycle Director & Finance, including any & all necessary audit logs required for cost reporting and/or third party audits.
• Electronic remittances cleared daily as posted and un-cleared remittances, researched and resolved within five (5) business days.
• Maintains all Cash Application databases & runs all necessary queries for reporting purposes. Develops complete audit trails and systematic functions & reporting under Corporate Compliance guidelines.
• Responsible for verification that all cash control functions assigned are maintained daily.
• Ensuring the economic stability of the hospital to continue its mission & complies with system policies, procedures, & demonstrates System Values in performance and behavior.
• Maintaining a financially sound organization through improved efficiencies and adapts quickly to changing technology.
• Maintains a thorough understanding of the financial system and efficiently utilizes the system, such as EPIC, Excel, US Bank (Payment Consolidator), among others.
• Reports financial system and/or related patient accounting peripheral system delays, concerns, or issues to the team Lead &/or the PFS Manager.
• Keeps abreast of Team & Department Goals (AR Days, Cash Goals, Bad Debt, etc.).
• Adheres to the hospitals Administrative Policy regarding Patient Confidentiality.
• Works collaboratively and participates in a team spirited fashion, with other hospital staff and team members. Strives to recognize individual and team achievements.
• Demonstrates System Values in performance and behavior.
• Complies with System policies and procedures.
• Other duties as may be assigned.

QualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Supervisory ResponsibilitiesNo supervisory responsibilities.Minimum Education/ExperienceNo educational requirement and 6 months - 1 year relevant experience.Required Licenses/CertificationsNone.Other Experience/QualificationsRequired:Proficiency with 10-key adding machine.Computer/Business SkillsAbility to use office machines. Demonstrated ability to use word processing and other Microsoft Office programs.Language SkillsAbility to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.Mathematical SkillsAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.Purpose of ContactsPurpose is to obtain, clarify, or give facts or information regardless of the nature of those facts, i.e., the facts or information may range from easily understood to highly technical.Reasoning SkillsAbility to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.