Payment and Cash Management Representative I - York - Days
WellSpan Health, Lebanon, Pennsylvania, United States, 17042
Revenue Cycle Position
Full time (40 hours weekly) Monday-Friday 7:00a-3:30p General Summary
Provides prompt, efficient and accurate payment posting of all Hospital and Professional Billing accounts in accordance with established policies and procedures. Duties and Responsibilities
Essential Functions: Performs daily activities of posting and all zero pay explanation of benefits (EOBS) to accounts. Reconciles the electronic remittance advice with the payments received. Electronically posts payments received via electronic funds transfer (EFTs). Ensures correspondence is posted in a timely and accurate manner. Refers improperly paid account for review and/or refund. Posts denials, payments, and adjustments according to the Explanation of Benefits, and ability to audit and analyze the Explanation of Benefits to ensure accuracy of reimbursement and proper adjustments have been applied. Accurately documents all account activity and corresponds to inquiries in a timely manner. Demonstrates comprehensive working knowledge of commercial and government payer regulations, guidelines, and requirements for billing and collections. Reports to management, detailing accomplishments, areas for improvement, clear performance goals, and effectiveness of processes and systems. Communicates and works clearly, concisely and effectively both verbally and written. Completes and maintains work queues and other assigned tasks. Assists Payment Research investigation and resolution. Maintains current knowledge of all private and government payer billing regulations and policies. Follows all WellSpan's health and safety policies and procedures. Common Expectations: Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, Maintains appropriate records, reports, and files as required. Provides appropriate documentation on accounts. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. Participates in educational programs, meetings, and mandatory education. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications
Minimum Education: High School Diploma or GED Required Work Experience: Less than 1 year Relevant experience. Required 1 year In Billing/Insurance Follow up or similar. Preferred Knowledge, Skills, and Abilities: Excellent communication and interpersonal skills. Able to adapt to change and work in a fast-paced environment Benefits Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including DailyPay Expanded Paid Parental Leave About Us
WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.
Full time (40 hours weekly) Monday-Friday 7:00a-3:30p General Summary
Provides prompt, efficient and accurate payment posting of all Hospital and Professional Billing accounts in accordance with established policies and procedures. Duties and Responsibilities
Essential Functions: Performs daily activities of posting and all zero pay explanation of benefits (EOBS) to accounts. Reconciles the electronic remittance advice with the payments received. Electronically posts payments received via electronic funds transfer (EFTs). Ensures correspondence is posted in a timely and accurate manner. Refers improperly paid account for review and/or refund. Posts denials, payments, and adjustments according to the Explanation of Benefits, and ability to audit and analyze the Explanation of Benefits to ensure accuracy of reimbursement and proper adjustments have been applied. Accurately documents all account activity and corresponds to inquiries in a timely manner. Demonstrates comprehensive working knowledge of commercial and government payer regulations, guidelines, and requirements for billing and collections. Reports to management, detailing accomplishments, areas for improvement, clear performance goals, and effectiveness of processes and systems. Communicates and works clearly, concisely and effectively both verbally and written. Completes and maintains work queues and other assigned tasks. Assists Payment Research investigation and resolution. Maintains current knowledge of all private and government payer billing regulations and policies. Follows all WellSpan's health and safety policies and procedures. Common Expectations: Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, Maintains appropriate records, reports, and files as required. Provides appropriate documentation on accounts. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. Participates in educational programs, meetings, and mandatory education. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications
Minimum Education: High School Diploma or GED Required Work Experience: Less than 1 year Relevant experience. Required 1 year In Billing/Insurance Follow up or similar. Preferred Knowledge, Skills, and Abilities: Excellent communication and interpersonal skills. Able to adapt to change and work in a fast-paced environment Benefits Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including DailyPay Expanded Paid Parental Leave About Us
WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.