Payment Reconciliation Jobs (NOW HIRING)

Within the UNLV Health revenue cycle operation, the Payment Posting Specialist is primarily responsible for the maintenance, control, payment posting and/or final disposition of incoming payments. The incumbent is also responsible for analyzing the explanation of benefits to ensure accurate posting of payments, rejection codes, adjustments and any other posting requirements needed in Epic. The Payment Posting Specialist is also responsible for coordinating the workflow with the Credit Analyst at month-end to accomplish the unit’s goals and meet its deadline for closing. The position also supports the Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) processes for UNLV Health. The incumbent will also conform to all UNLV Health, government and HIPAA policies and procedures.

Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions.

ADVANTAGES OF WORKING FOR UNLV HEALTH

• Clinic Hours are Monday through Friday, 8AM to 5PM (Actual hours may vary depending on business need)
• 12 Full-Day and 2 Half-Day Paid Holidays per year, starting with your first day of employment
• 20 PTO days per year
• 3% 401K Contribution, even if you do not contribute
• Medical, Dental, and Vision benefits that start the first of the month following your start date
• Medical Assistant and CPR Certifications reimbursed by UNLV Health

Major Responsibilities

Payment Posting Activities

• Post all incoming payments received through lockbox, electronically and bank deposits to appropriate invoices via Epic
• Identify accuracy of payments per payer contracts/fee schedules
• Post patient payments based on submitted information, or allocate to oldest open invoices if instructions are absent
• Process and post cash receipt deposits and credit card payments from patients and other departments
• Post Medicare, Medicaid, and other third-party payer payments, ensuring accuracy and reviewing invoice details
• Post denials with specific codes and handle denials received through correspondence mail
• Research missing and misapplied payments and perform payment reversals and adjustments

Payment Reconciliation

• Utilize various systems for payment posting, reconciliation, and control (Epic, Google Workplace, Excel, etc.)
• Ensure accurate and timely posting of Medicare, Medicaid, and other third-party payer payments
• Reconcile payment batches
• Identify system errors, undistributed payments, and resolve issues
• Reconcile electronic payment posting of Medicaid and Medicare against checks and ACH transactions

Quality Control and Research

• Monitor and resolve errors using the Credit WQ report
• Maintain communication with internal and external stakeholders
• Review and reconcile credit/undistributed balances, transferring payments or issuing refunds as necessary
• Assist with month end close as needed
• All cash received is expected to be posted by month end
• Transit is to be worked and resolved

Write-off and Adjustments

• Process approved write-off accounts and perform payment adjustments as requested
• Coordinate with management, PFS Unit, and departments for adjustments
• Process adjustment requests and verify validity in coordination with the Cash Manager

Undistributed and Special Accounts

• Post unidentified payments to clearing accounts and conduct research for appropriate allocation
• Process and transfer pre-payment postings from other departments
• Reconcile patient accounts for the Department of Psychiatry
• Communicate with insurance companies, client departments, and government agencies regarding refund requests and inquiries

Educational Requirements

High School Diploma or equivalent

Qualifications

• Two years of related administrative experience or an equivalent combination of education and experience
• General knowledge of accounting controls and standard cashier policies
• Demonstrated ability to use a computer with Microsoft Office and Excel knowledge
• Excellent oral and verbal communication skills
• Experience with interpreting Insurance Explanation of Benefits
• Experience with Epic medical payment posting system preferred
• Ability to establish and maintain effective working relationships with patients, team members, physicians and the public

Physical Requirements

• May include standing, sitting, and/or walking for extended periods
• May include performing repetitive tasks
• May include working on a special schedule (i.e., evenings and weekends)
• May include working with challenging patients
• May include lifting up to 25 pounds

UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law.

If you have any questions about our interview and hiring procedures, please contact Recruitment at healthjobs@medicine.unlv.edu