Remittance Service Representative Jobs (NOW HIRING)

Work Status Details: Full Time | 80.00 Hours Every Two Weeks
Exempt from Overtime: Non-Exempt
Shift Details: M-F 0800-1630
Department: Cash Applications | Reports To: Manager-Patient Financial Services-PT Experience
The mission of Faith Health is to serve Christ by providing all people with exemplary medical services in an environment of love and care.
Summary:
The Cash & Remittance Processor is responsible for the intake of payments from patients, insurances, and other third parties for Faith Health, Faith Health Physicians Services, and Faith Health Home Health/Hospice. These payments must be accurately applied to patient accounts in a timely manner. Daily deposits will be prepared and delivered to the bank. The Cash & Remittance Processor will be responsible for ensuring all 835 electronic payment files are loaded and processed to ensure timely payment posting to patient accounts. Must post denial reason codes, remark codes, and contractual adjustments. The position will work directly with the appropriate Clearinghouse and IT analysts to research and resolve missing remittance and FTP file transfer issues. This position will work directly with the finance department to ensure all payments are posted in a timely manner and the two departments consistently balance with one another. When a payment is received without an EOB, this position will research to locate the missing information by contact payers via phone or website. Provide information to the finance department when payments are received that must be directly allocated to GL accounts. Work closely with HB and PB billing staff. Create and send Industrial billing statements.
The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.
Responsibilities:
Essential Job Duties and Responsibilities:
1. Accurately post insurance and patient payments and contractual adjustments to patient accounts, either by loading an 835 Electronic Remittance file or by manual entry. Notify the finance departments of payments that need to be allocated directly to a GL when unable to post into the EHR. Process credit card transactions.
2. Ensure denial reason codes and remark codes are accurately posted with the payment to ensure appropriate routing of an account to the billing office staff.
3. Identify when payments are not at contractual rates and communicate this to billing staff and leadership.
4. Balance cash drawers. Assist other departments with balancing their cash drawers. Assist in payment corrections and reversals.
5. Research and resolve missing payments, missing ERA's, missing EOB's. Ensure payment batches balance with daily deposit. Work collaboratively with the finance department to ensure daily balancing. Match checks to appropriate remits.
6. FTP file transfers for all systems to ensure data files are uploaded into appropriate systems daily and vendors have the necessary information they need to function day-to-day operations.
7. Process Bank Loans: includes balancing of the spreadsheet and tracking to make sure all loans are accounted for and funded timely, notifying Finance of the appropriate funds to sweep, processing default loans and issuing refunds to the appropriate bank.
8. Industrial Billing: includes receiving supplies, pharmacy items and outreach service information from several departments, reconciling them, and billing out the appropriate facility/entity monthly, tracking those charges and reconciling them for Finance when payments come in.
9. Demonstrates adequate knowledge of insurance policies and procedures. Notify supervisor of billing problems and potential resolutions.
Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other information:
Job Requirements:
The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.
EDUCATION:
GED or High School Diploma preferred.
EXPERIENCE:
Previous healthcare experience preferred.
One-year previous Cash Handling experience required.
Previous Accounts Receivable experience preferred.
Previous Customer Service experience preferred.
SKILLS:
Language Skills - Ability to read, write, speak, and understand the English language required.
Proficient in Microsoft Office-Word and Excel required.
KNOWLEDGE:
Previous Knowledge of Health Insurance Payments preferred.
Faith Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.