Summary: Receives and processes cash payments and posts to accounts receivable system. Reviews explanations of benefits for accurate posting to the accounts receivable system. Responsibilities: • Receive payments from lockboxes, internal mail, and credit card transactions. • Determine correct patient account and post cash or credit card payment to the line item referenced on the payer explanation of benefits or patient payment. • Determine if payment amount for the date of service referenced on the explanation of benefits matches the amount due. • If the payment matches the amount due, post the payment to the line item and determine the amount due, if any, from the secondary payer or the patient. • If the payment does not match the amount due, determine if the payment is based on a contract (located in public folders); is based on a price negotiated by the representative; is based on KCI retail fees; or is an incorrect payment. Make line item adjustments (credits or debits) as needed based on this determination. Transfer any remaining amounts due to the secondary payer or to the patient, as indicated on the explanation of benefits. Forward incorrect payments to the Billing Specialist for appeal with the payer. • For those accounts that require an adjustment to the billed amount, determine if part of the adjustment belongs to sales tax. If it does, the payment must be applied to the payment calculator before posting into the accounts receivable system so that correct amounts can be applied to the charge for the item and to the charge for tax. • Forward denials to the Regional Billing Specialist. • Monitor unidentified cash so that the correct patient account can be identified for cash posting or the money can be refunded to the payer. • Reconcile bank batch totals to accounts receivable system posting, so that bank deposits posting match totals. • Add payers into the accounts receivable system, as determined by cash posting. • Maintain payment spreadsheets for accurate cash accounting. • Separate payments for other Third Party billing locations. Copy and total the batch and send via overnight mail. • Mark the posted payments with the date posted and separate into regions for filing. • Participates in any and all reasonable work activities as may be deemed suitable and assigned by management. • Conforms to, supports and enforces all Company policies and procedures. Qualifications: Basic Qualifications: •High School Diploma or equivalent •At least 1 year experience in accounts receivable procedures and medical claims processing including posting payments. •Experience with MS Office applications including Word, Excel, and Outlook. Other Qualifications: •Demonstrated competency on the pre-employment assessments. •Ability to participate in all required training programs. •Ability to work in a team environment, as well as, independently. •Ability to deal with all employees and external business contacts while conveying a positive, service-oriented attitude. •Ability to maintain confidentiality and discretion in business relationships and exercise business judgment. •Experience with basic bookkeeping. •Ability to follow work instructions and complete projects and tasks in assigned time frame. Location: Dillon, Montana Compensation: Hourly Principals only. Recruiters, please don't contact this job poster. Please, no phone calls about this job! Please do not contact job poster about other services, products or commercial interests. montana
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