Posting and Reconciliation Specialist
McPherson Hospital, Inc., Mcpherson, Kansas, United States, 67460
Job Description: Posting and Reconciliation Specialist
The Posting and Reconciliation specialist will be responsible for routine posting and reconciliation of incoming Electronic Remittance Advice from carriers (ERA’s), incoming paper checks (EOB’s) self-pay and general ledger payments. They will assist with daily payment reconciliation and ensure monies due to the facility are properly posted in the electronic system.
Posting and Reconciliation Specialist Shift Availability
Full Time
Days
Posting and Reconciliation Specialist Benefits
Medical/ Dental/ Vision Insurance
Health Savings Account
Flex Spending Account/Dependent Care Spending Account
403 (b) Retirement Plan- up to 4% employer contribution
Earned Time Off
Extended Illness Bank-Hospital contribution
Life Insurance- Employer Paid
Long-Term Disability/ Short-Term Disability-Employer paid
Voluntary Life & AD&D
Free 24-hour fitness center
Hospital Indemnity
MASA- Medical Transportation Solutions
Posting and Reconciliation Specialist Essential Accountabilities
Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.
Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.
Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.
Assist with credit or negative balances (Medicare, Medicaid, commercial payer, patient credits) as part of monthly maintenance and reconciliation; communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.
Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold.
Department Specific Accountabilities
Ability to work in detail-oriented environment with firm deadlines.
Must be able to collaborate with internal peers and external contacts.
Ability to exercise independent judgement and problem-solving.
Organization Accountabilities
Completion of HealthStreams education by designated due date
Attends required staff/department/organization’s meetings
Demonstrates strong, clear communication skills
Upholds the C.A.R.E. Values of McPherson Center for Health
Exhibits professionalism at all times.
Maintains confidentiality as required by HIPPA regulations.
Participates in the professional development of self and team members.
Posting and Reconciliation Specialist Qualifications
Education:
High School Diploma or Equivalency
Experience:
Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services
Licensure/Certifications: N/A
Skills:
Working knowledge of medical billing, insurance carriers, and payment methodologies
Data entry and working knowledge of computers and various hardware/software (Outlook, Excel, Teams, copier/fax machine, calculator)
Ability to navigate clearinghouse and insurance portal websites.
Experience with Electronic Health Record systems
Working Conditions:
Hazardous Working Conditions:
Must have the ability to work under stress during peak workload periods
Environmental Surroundings:
OSHA Category 3 – Tasks that involve no exposure to blood, body fluids, tissues or other potentially infectious materials
Physical Working Conditions:
Must be able to sit for long periods of time
Must be able to lift 10-15 pounds infrequently
Must be able to read small print documents
Must be able to perform repetitive key strokes/data entry
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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Posting and Reconciliation Specialist Shift Availability
Full Time
Days
Posting and Reconciliation Specialist Benefits
Medical/ Dental/ Vision Insurance
Health Savings Account
Flex Spending Account/Dependent Care Spending Account
403 (b) Retirement Plan- up to 4% employer contribution
Earned Time Off
Extended Illness Bank-Hospital contribution
Life Insurance- Employer Paid
Long-Term Disability/ Short-Term Disability-Employer paid
Voluntary Life & AD&D
Free 24-hour fitness center
Hospital Indemnity
MASA- Medical Transportation Solutions
Posting and Reconciliation Specialist Essential Accountabilities
Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.
Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.
Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.
Assist with credit or negative balances (Medicare, Medicaid, commercial payer, patient credits) as part of monthly maintenance and reconciliation; communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.
Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold.
Department Specific Accountabilities
Ability to work in detail-oriented environment with firm deadlines.
Must be able to collaborate with internal peers and external contacts.
Ability to exercise independent judgement and problem-solving.
Organization Accountabilities
Completion of HealthStreams education by designated due date
Attends required staff/department/organization’s meetings
Demonstrates strong, clear communication skills
Upholds the C.A.R.E. Values of McPherson Center for Health
Exhibits professionalism at all times.
Maintains confidentiality as required by HIPPA regulations.
Participates in the professional development of self and team members.
Posting and Reconciliation Specialist Qualifications
Education:
High School Diploma or Equivalency
Experience:
Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services
Licensure/Certifications: N/A
Skills:
Working knowledge of medical billing, insurance carriers, and payment methodologies
Data entry and working knowledge of computers and various hardware/software (Outlook, Excel, Teams, copier/fax machine, calculator)
Ability to navigate clearinghouse and insurance portal websites.
Experience with Electronic Health Record systems
Working Conditions:
Hazardous Working Conditions:
Must have the ability to work under stress during peak workload periods
Environmental Surroundings:
OSHA Category 3 – Tasks that involve no exposure to blood, body fluids, tissues or other potentially infectious materials
Physical Working Conditions:
Must be able to sit for long periods of time
Must be able to lift 10-15 pounds infrequently
Must be able to read small print documents
Must be able to perform repetitive key strokes/data entry
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
#J-18808-Ljbffr