The Cash Posting/Credit Balance Representative is responsible for payment posting and credit balance activities in the Patient Financial Services Department with respect to posting insurance and patient payments, posting insurance contractual and other adjustments, payment reconciliation, and identifying and resolving credit balances on patient accounts. This position interacts with internal and external customers to provide information in response to inquiries about patient balances per department policy. This position participates in special projects and will assist with department processes. Responsibilities of this position include ensuring consistencies are followed between caregivers as well as able to provide valuable information on job quality and efficiencies. This position aids in the training of new caregivers. Maintains working knowledge of reimbursement methodologies, while maintaining a high level of integrity, respect and confidentiality for our patients, families and caregivers. The position receives daily incoming mail from the Mosaic Life Care Mailroom and from the Patient Financial Services lock box as well as electronic files. This position is responsible for sorting and distributing correspondence to the appropriate area/caregiver in addition to entering the appropriate activity transaction codes into the computer system for correspondence assigned to the responsible resolution owner.This position works under the supervision of the Manager(s) of Patient Financial Services and is employed by Mosaic Health System.
Responsibilities
- Responsible for coordination and application of cash-related electronic and manual posting activities ensuring that all payments and adjustments are accurately posted to patient accounts.
- Ensures that posted batches reconcile to amounts deposited and/or reflected on remittance from insurance carrier, lock box, etc.
- Researches and resolves unidentified payments in a timely manner.
- Responds to written/oral inquiries related to itemized statements requests, refunds, cash posting and credit balances from internal and external customers, including patients, insurance companies, and attorneys.
- Researches and processes all patient and insurance refunds in accordance with best practice/benchmarks adhering to contractual, state, federal and regulatory compliance requirements.
- Researches uncashed refund checks.
- Participates in special projects and other duties as directed by leadership.
Education
- H.S. Diploma - High School Diploma or GED equivalent - Required
Work Experience
- 1 Year - 1 to 3 years of cash posting, customer service, banking, medical billing, collections and/or business office experience, ideally in a medical setting - Preferred
Licenses and Certifications
- Upon Hire
Travel Requirements
- Travel to off-site locations may be required. - Required
Qualifications
Skills and Abilities
Essential Technical/Motor Skills
- Basic Microsoft application skills required
- Oral and written communication skills
- Organization and time management skills, and ability to establish priorities effectively
- Dependable in both production and attendance
- Communicates clearly with all customers, uses fax, computer, printer, copier, 10-key by touch, and telephone
Interpersonal Skills
- Ability to communicate well with fellow caregivers in our department plus other departments.
Essential Physical Requirements
- Walking, typing, operating business office equipment, stooping, crouching, and lifting.
- Ability to meet quantity and accuracy department measures.
Essential Mental Abilities
- Manipulate numbers, interpret data, calculate, comprehend, understand, explain, follow rules, memorize, concentration/alertness, ability to organize and prioritize.
Essential Sensory Requirements
- Visual ability to enter data from remittances into computer, talking with patients over the phone and using calculator and computer.
Exposure to Hazards
- Limited exposure
Other Skills and Abilities
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