JOB SUMMARY:

The Insurance Payment Poster 1 will support director and manager by posting MGBO insurance payments, reporting, and special projects. Provide support for team leads and peers. (i.e. PC functions, Excel, Word, imaging)

REQUIRED MINIMUM EDUCATION:

High school diploma Required

REQUIRED MINIMUM EXPERIENCE:

Minimum 2 years work experience in cash applications. Required

REQUIRED MINIMUM SKILLS:

Basic knowledge of medical terminology Basic experience and knowledge of PC applications Detailed-oriented, good organizational skills, and ability to be self-directed Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere Flexibility to perform other tasks as needed in an active work environment with changing work needs High-level problem solving, analytical, and investigational skills Excellent internal/external customer service skills Excellent communication skills to include oral and written comprehension and expression Ability to: learn quickly and meet continuous timeline, productivity, and QA standards exhibit behaviors consistent with principles of excellent service demonstrate and maintain competency as required for job title and the unit/area(s) of assignment\ exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect

Primary Responsibilities * Consistently meet the current productivity standards in posting insurance payments (as assigned) * Consistently meet the current quality standards in posting payments from insurance companies by posting received payments withing the performance metrics outlined by the department. (as assigned) * Meet productivity standards, targets, error ratios, and reporting requirements as assigned by the department manager or supervisor * Provide individual contribution to the overall team effort of achieving the department goals, initiatives and * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities * Demonstrate knowledge of HIPAA privacy standards and ensure compliance with system PHI privacy practices * Follow the WellStar general Policies and Procedures, the Departments Policies and Procedures, and the Emergency Preparedness Procedures * Follow JCAHO and outside regulatory agencies mandated rules and procedures * Utilize assigned menus and pathways and work queues from within the current and legacy software applications to escalate problems to the appropriate supervisor * Utilize assigned menus and pathways in foreign software applications and report software application to escalate problems to the appropriate supervisor * Utilize assigned computer hardware and report hardware problems to the appropriate supervisor or service desk. * Participate in the testing for assigned software applications, including verification of field integrity * Perform other duties and responsibilities as assigned. * Daily Responsibilities * Posting of payments, adjustments, patient coinsurance, copays, & deductibles including all Reason codes as well as remarks codes as reported by the payor. * Responsible for resolving payments posted into unapplied cash accounts within 15 days * Posting of zero EOBs and use appropriate denial and remarks codes. * Posting of credit card payments received via mail/agencies/rejected WebPay transactions * Posting of payment transfers * Posting of vendor/agency payments * Posting of all bonus and incentive payments as assigned. * Maintain balancing and work log and crosstraining with other payment posting functions * Daily Functions: Payment corrections/distributions, Payment Posting Reports and DPL paperwork are to be completed daily. The Productivity Report should be updated daily so that the Team Lead can verify the previous weeks activity regularly. * Transactions Goal: Assigned Insurance deposits ( EFT/Lockbox), agency deposits, and/or Zero EOBs unposted less than or equal to 1 business day. * Un-Distriuted cash monthly average of less than or equal to of 1.0 day of average cash collections * Report to work on time and as scheduled. Professional Development * Attend staff meetings, in-services, and continuing education. * Assist with special projects as assigned. * Work closely with other staff, co-workers, peers, and other members of the healthcare team to ensure a positive and effective work environment. * Complete all required training by assigned due dates. Professional Communication * Maintain confidentiality in matters relating to patient/family. * Assure patient privacy and confidentiality as appropriate or required. * Initiate communication with peers about changes and procedures. * Relay information appropriately over telephone, email, and other communication devices. * Interact with internal customers including A/R Follow-up, Payment Variance, Charge Capture Claim Edits as well all all patient facing operational sites and our SBO customer support team. * Conduct yourself and communication in a professional manner at all times Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.