Accounts Receivable Representative | Professional Billing, Full-Time

We are looking for a Accounts Receivable Representative to join our collaborative team at Memorial Health!

What You'll Do:

Payment Processing and Reconciliation: Responsible for performing duties in a manner, which promotes accurate, efficient and timely cash posting and reconciliation. Manages lockbox for hospital payments and notifies various entities of payments received. Ensures payments received via Electronic Funds Transfer (EFT) and lockbox are obtained from banking website on a daily basis. Performs payment posting of Electronic Remittance Advice (ERA), Payer Explanation of Benefits (EOB) and patient payments, contacts payers via payer website and/or telephone for payment documentation and/or clarification of payments received. Understands payer contract terms in order to accurately posts payer contractual adjustments. Researches payer payment recoupments for accuracy and posts accordingly. Provides detailed documentation of payment corrections for accounting and auditing purposes. Maintains cash clearing accounts, allocating and refunding payments as appropriate. Responsible for accurate completion of daily balancing spreadsheets and monthly payment summary reports for both Patient Financial Services and Accounting Department reconciliation. Provides general ledger entries as related to non-patient payments to the Accounting Department. Deposits hard copy checks via virtual scanning system, meeting policy guidelines. Provides billing information for secondary and tertiary claims to billing representatives. Enters complete and appropriate account note(s) in HIS identifying actions taken to reconcile patient accounts. Refund Processing and Scanning: Manages patient overpayments via Epic work queues, researching overpayments to determine appropriate action. Transfers overpayments to outstanding accounts or prepares refund documentation for management approval, and provides appropriate refund correspondence to Accounting Department for check processing. Understands payer contract terms for refund requests, reaching out to payers for clarification and coordinating with billing representatives as needed for corrected claims. Gathers documentation and participates in quarterly credit balance audits from various vendors. Researches and provides data for the quarterly Medicare Credit Balance report. Scans and indexes documents into electronic storage system, ensuring proper document naming convention and account selection. Processes daily mail and routes to appropriate representatives. Supports all team members and co-workers, engaging in positive interactions at all times. Customer Service: Exhibits professional communication with customers, family members, co-workers, vendors and payers, by providing helpful assistance and responding timely to requests. Ensures active listening prior to responding, remains calm and confident when assisting others. Addresses patient concerns and complaints and provides resolution; escalates more in-depth issues as appropriate to assist with service recovery. Displays enthusiasm while applying quick thinking and resourcefulness in providing assistance. Critical Thinking: Actively looks for and creates opportunities to improve department, staff and personal development. Develops and demonstrates knowledge of current developments in field to maintain competency. Utilizes hospital and departmental policies and procedures. Interpersonal: Acts as a resource for new employees and precepts as needed. All interactions are conducted in a professional manner. Demonstrates a positive attitude. Provides excellent customer service, facilitates quality care delivery and fosters an atmosphere of understanding cultural diversity. Communicates dissatisfaction with issues to direct supervisor; actively contributes to the solution of problems and refrain from promoting dissatisfaction among co-workers. Must be a team player; cooperate with co-workers to resolve conflict through one on one negotiation or with the assistance of the Director or their designee. Maintains confidentiality at all times to protect patient’s privacy and maintains HIPAA privacy and security regulations. Documentation: Documents accurately (painting a complete picture providing directions to other health care providers); refrains from using unapproved abbreviations in written or computer documentation. Documentation is completed on a daily basis. Understands the importance of accurate completion of documentation and Hospital accreditation requirements and how it impacts hospital payment and certification programs. Education: HIPAA privacy regulations and related procedures. CMS updates on patient rights.

Requirements
High school diploma or equivalent and two (2) years’ experience and relevant knowledge of revenue cycle, banking functions and general accounting preferred. Understanding of health insurance and government programs, billing processes, managed care contracts, coordination of benefits with ability to interpret explanation of benefits. Knowledge of office practices and procedures, medical terminology and the ability to communicate effectively. Must be proficient with Microsoft Word, Excel and PowerPoint.

Shift
1st

Hours
80 per pay (Every two weeks)

Location:

• Approx. 25 minutes away from Dublin, OH
• Approx. 30 minutes away from Hillard, OH
• Approx. 30 minutes away from Delaware, OH
• Approx. 30 minutes away from Powell, OH

We look forward to seeing your application!

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

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