Cash Posting Specialist (25-372) at Artesia General Hospital

Artesia, New Mexico, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Feb, 26

Salary

0.0

Posted On

04 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Cash Posting, Reconciliation, Payment Processing, Insurance Claims, CPT Coding, ICD-10CM, Analytical Skills, Communication Skills, Organizational Skills, Microsoft Office, Bilingual, Attention to Detail, Medical Terminology, Time Management, Customer Service, HIPAA Compliance

Industry

Hospitals and Health Care

Description

Description Job Summary: Responsible for entering, balancing and reconciling all patient and insurance payments and recoupments for Artesia General Hospital and physician practices. ESSENTIAL FUNCTIONS: Is able to prioritize daily work and assesses backlog situations, making adjustments as needed. Reconciles cash/contractual balances/variances, assuring accuracy of the daily bank balancing procedures. Identifies researches and ensures timely processing of payments, allowances, denials/rejections are recorded on individual accounts. Posts and reconciles electronic received insurance payments (RAP’s) accurately and timely. Posts and balances payments received through the mail from patients and insurance companies. Balance all receipts according to the Hashing Policy and Procedures. Print Edit, Hashing and review screens prior to posting. Posts ALL receipts ensuring the edit totals the check(s) amount. Review and work SIT categories assigned to the Receipting Department. Close Daily Receipts. Resolve and reconcile the unapplied account monthly. Ensures compliance with all regulatory, company, departmental and HR policies and procedures. Maintains strict confidentiality in accordance with HIPAA regulations and AGH privacy policies. Including divulging any patient health information (PHI) only on a need-to-know basis to payers requiring information for claims payment processing. Performs other duties as assigned. Maintains thorough knowledge of third-party payment applications, requirements and regulatory guidelines at the federal, state and local level. Meets all monthly and year end fiscal closing deadlines as they relate to the cash application process. Meets or exceeds departmental productivity standards on a consistent basis. Assist with the implementation of potential new systems and process changes as needed. Assist with training new employees as needed. Ensure that adjustment request have the proper supporting documentation and appropriate sign off for processing. Will ensure that all batches' payments and adjustment balance. Will make adjustments to accounts for NSF payments, included the fee to be assessed by Artesia General Hospital. Report any noted trends while posting manual or electronic payments. Post zero payments on a daily basis and forward information to the Appeals/Denials Coordinator as appropriate. Daily Check Out procedure with Supervisor. Completes all assignments on a daily basis. ADDITIONAL RESPONSIBILITIES: Prompt response to e-mail and telephone calls. Exceptional interpersonal skills. Excellent communication. Excellent organizational skills. Manual Payment Posting: Input data from insurance remittance advices and patient payment batches into Patient Accounting System. Assist Business Office Lead/Supervisor/Manager/Director as required or assigned. Performs other necessary duties as required to meet the goal of providing exceptional customer service to the community and health system. Demonstrate awareness of age specific, cultural and spiritual practices of patients, staff and visitors. Understands the functional status and physical needs of patients, staff and visitors. Will treat all customers, coworkers, medical staff and the communities we serve with integrity and service excellence at all times as measured by documented communications to the Department Director. Will abide by the policies of Artesia General Hospital related to compliance. Will report to work on time as scheduled per the HR policy. Will be available for a full-time schedule. Will have flexibility to work evenings and weekends as necessary to meet deadlines. Will attend weekly and monthly meetings as required. Will complete annual education and training requirements. KNOWLEDGE/SKILL/ABILITIES: High school diploma or equivalent required. 1- 3 years of experience in the healthcare setting (Hospital and/or medical office) working with insurance claims processing involving CPT, HCPCS, ICD-9CM, ICD-10CM and CMS regulations. Familiarity with CMS1500 and UB04 claim form completion. Strong analytical, oral, written communication skills. Familiarity with health insurance and other third-party billing practices and guidelines. Proficient in Microsoft Word, Excel, Access, Outlook, and the like. Bilingual in Spanish and English a plus. Must be able to assess situations, identify issues/problems and prioritize duties. Reasoning Ability: Uses personal experience, knowledge and other outside resources to make logical decisions to solve problems. Utilizes Time Management and Organization skills. Attention to detail, is accurate and completes principal accountabilities timely. Professionalism. Understanding of Medical Terminology. 10 Key experience. AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position. Information Management: Treats all information and data within the scope of the position with appropriate attention to confidentiality, privacy, HIPAA and security policies/regulations. Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations. MINIMUM POSITION QUALIFICATIONS: Ø Education – High school diploma or equivalent. Ø Work Experience – o Minimum 2 years of experience in the healthcare setting (Hospital and/or medical office) working with insurance claims processing involving CPT, HCPCS, ICD-9CM, ICD-10CM and CMS regulations. o Familiarity with CMS1500 and UB04 claim form completion. o Strong analytical, oral, written communication skills. o Familiarity with health insurance and other third-party billing practices and guidelines. o Proficient in Microsoft Word, Excel, Outlook, and the like. Ø License/Certification – none. ENVIRONMENTAL CONDITIONS: Work environment consists of daily patient contact in a fast-paced office setting.

Responsibilities

The Cash Posting Specialist is responsible for entering, balancing, and reconciling all patient and insurance payments for Artesia General Hospital. This role includes ensuring compliance with regulatory policies and maintaining confidentiality in accordance with HIPAA regulations.