Payment Posting Representative P

Mary Greeley Medical Center - Ames, IA

Full-time

Ames, IA

Hospitals

About the position

The Payment Posting Representative is responsible for accurately posting all payments received to accounts in various systems, ensuring timely processing to support patient satisfaction and the financial stability of the organization. This role involves maintaining an efficient workflow, resolving posting errors, and collaborating with accounting to ensure accurate financial reporting.

Responsibilities

• Posts all payments, denials, recoupments, and corrections received from insurance carriers accurately and timely in various systems via manual entry and through electronic remittance advice.
• Calculates and enters adjustments, contractual amounts, and any patient financial obligations as needed.
• Applies guarantor payment transactions to appropriate accounts as directed by information provided at time of payment and processes receipts as requested.
• Investigates and exhausts efforts prior to returning a payment.
• Processes and posts payments appropriately to the general ledger.
• Identifies and resolves posting errors or issues, investigates root cause, and brings necessary information to the attention of leadership.
• Prepares and balances all receipts for cash, check, and credit card payments to ensure daily hospital reconciliation and deposit.
• Processes and posts insufficient fund check return fees.
• Performs analysis of various payment methods to secure reimbursement and reduce cost to the organization.
• Retrieves missing payment information through various methods; including but not limited to phone, email, and websites.
• Navigates patient accounts within the electronic health record to decipher account information and document actions and activities performed on accounts as needed.
• Monitors, resolves issues, and processes Epic cash drawers. Also functions as a resource for staff who have access to cash drawers.
• Reviews, scans, and retains documentation to support posting activities.
• Works closely with Accounting to ensure daily, month-end, and quarterly reports and processes are completed in a timely manner.
• Responds and provides necessary information and assistance (via phone or in person) to departments and staff regarding cash, deposit, and bank requests or inquiries.
• Retrieves mail and drop box contents daily. Routes necessary paperwork to proper recipient and location.
• Independently prioritizes and organizes work to ensure effective and efficient completion.
• Displays responsiveness and flexibility to adapt to changes in work environment and modify approaches or methods to best fit the situation.
• Demonstrates effective interpersonal skills and excellent communication with the ability to work with others collaboratively.
• Assists in establishing and updating policies and procedures for cash posting activities to maintain quality assurance, optimal processes, and meet regulatory requirements.
• Reports any observed or suspected deviation from medical center policies or from Medicare, Medicaid, or other insurance regulations immediately to the department Manager, Director, or the medical center's Chief Compliance Officer.
• Participates in staffing meetings, staff development, and training.
• Performs other duties and responsibilities as assigned.

Requirements

• Two years of higher education and/or two years of progressively responsible work experience in a medical office or insurance company setting.
• Equivalent combination of education and experience that would demonstrate the capability to perform the duties of the position.
• Maintain stroke education per regulatory requirements.

Nice-to-haves

• Medical payment posting experience.
• Considerable knowledge of the Federal and State regulatory requirements for billing accounts receivable.
• Considerable knowledge of Medicare, Medicaid, or other insurance carriers billing requirements.
• High school diploma or GED.