Representative - Payment Reconciliation: MPG - Business Office

  

Summary:
Processes, monitors, and reconciles payments on accounts receivable.

 

Detailed responsibilities:
• Receives payments and allowances from payers and performs data entry of payments, allowances and account adjustments.
• Reviews and processes insurance explanation of benefits statements for accuracy.
• Reconciles bank deposits to batches entered into the financial system in a timely manner to ensure accurate account data.

Competencies and skills:
Essential:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.
• ACCOUNTS RECEIVABLE FOLLOW-UP: Resolves denials of payment and incorrect payments from insurance carriers.
• BILLING: Processes accurate payor claims to ensure timely reimbursement.
• PAYMENT POSTING: Posts insurance and patient/guarantor payments and co-payments.
• ANALYSIS AND DECISION MAKING: Uses decision making processes and tools to analyze situations and make effective decisions.

 

 

Education:
Essential:
• High School Diploma or Equivalent

 

Credentials:

 

Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required to type 35 wpm.

Required Work Experience: None required.

 

 

Working conditions:
Essential:
• Keyboard Entry     100.00%
• Lifting or Carrying 0 - 25 lbs Non-Patient     60.00%
• Pushing or Pulling 0 - 25 lbs Non-Patient     60.00%
• Repetitive Movement Hand/Arm     100.00%
• Sitting     80.00%
• Standing     80.00%
• Walking     80.00%
• Audible Speech     100.00%
• Hearing Acuity     100.00%
• Depth Perception     80.00%
• Seeing - Far     100.00%
• Seeing - Near     100.00%
• Computer Monitor     100.00%

  

 

Organizational Profile:
Memorial Healthcare System, consisting of 6 acute care hospitals, a nursing home, outpatient facilities, home health services and physician practices, provides quality, comprehensive care to the residents of the surrounding communities. We invite you to join one of the nation's leading healthcare systems, recognized for use of advanced technology and clinical informatics.

Memorial Support Services provides a variety of business services to support our facilities. The main offices are located in Miramar with satellite offices located throughout our system.

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.