What are the responsibilities and job description for the Payment and Cash Management Representative I - Payment Posting Credits and Refunds - Days position at WellSpan Health Services?
General Summary
Provides prompt, efficient and accurate payment posting of all Hospital and Professional Billing accounts in accordance with established policies and procedures.
Shift
Full Time, Days, 7-3:30 Monday thru Friday
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
- Flexible spending and health savings accounts
- Retirement savings plan
- Paid time off (PTO)
- Short-term disability
- Education assistance
- Financial education and support, including DailyPay
- Wellness and Wellbeing programs
- Caregiver support via Wellthy
- Childcare referral service via Wellthy
