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Remittance Representative, Physician Billing

4 months ago

Borough of Tinton Falls, United States Hackensack Meridian Health Full time

Overview

Our team members are the heart of what makes us better. 

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. 

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Remittance Representative, PB is responsible for daily remit processing, reconciliation of bank deposit, and analysis of payment activity between the bank lockbox, daily deposits, EFT/ACH and payment application system. Acts as a liaison between the department, financial reporting team, front end registration, Patient Financial Services, and other departments regarding cash/payment related inquiries. Ensures all workflow items are completed within the set turnaround time within quality expectations. Act as liaison between Clearinghouse, payer & the Cash team. Ensure Cash Management is processed daily in a timely and accurate manner. Duties performed are at multiple sites within the Hackensack Meridian Health (HMH) Network.

Responsibilities

A day in the life of a Remittance Representative with Hackensack Meridian Health includes:

  •  Post and reconcile bank deposits with remittance and payment files. Monitors the appropriate application (EPIC Remittance Module & legacy system) and creates reports to ensure that assigned electronic remits are accurately posted. Ensures incoming payments are processed correctly and timely.
  •  Communicate with Payer, Clearinghouse for missing remittance. Open tickets as requested by the Clearing house or Payer.
  •  Ensures daily core functions are completed and balanced accurately including posting of lockbox batches, remittance advice, and credit card exceptions. Ensures unmatched cash is current and any backlog is resolved timely. May also include contacting the patient, insurance company, payee, bank, front line staff, or other entity to determine where the payment belongs or process refund for incorrect or unidentified/undistributed payment received. Resolve clearing accounts monthly to zero balance.
  •  Tracks and trends exceptions to core business functions (ERA exceptions, reconciliation items, etc.) Reviews errors on electronic remittance advice files and escalates to appropriate entities. Communicates with the payer to resolve undistributed balance.
  •  Prepares Cash reports for management & Finance.
  •  Prepares a General ledger journal for any deposits and forward to Finance.
  •  Acts as a liaison for the department between Finance, Access, Patient Financial Services, the bank, internal IT, Electronic Data Interchange, agencies, and management on remittance related queries. Plays a key role in month end closing by clearing assigned tasks, assisting with additional research and/or posting as needed.
  •  Oversees all aspects of Cash Management including identifying issues and recommending process enhancements for quality improvement. Assists in training and education of support staff.
  •  Reviews remittance advice or explanation of benefits received from the lockbox correspondence or agencies and enters appropriate action in the system.
  •  Assist ordering supplies such as check scanners, deposit slips and endorsement steps for physician practices.
  •  Process incoming insurance correspondence and payments to HMH locations.
  •  Assists customer service associates as needed to resolve and research payment issues.
  •  Other duties and/or projects as assigned.
  •  Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

  •  Associate's degree or equivalent experience.
  •  Minimum of 2 or more years of experience in physician billing, remittance processing in EPIC, other billing systems, and/or a customer service oriented position.
  •  Good accounting skills with emphasis on reconciliation.
  •  Excellent data entry skills.
  •  Good analytical skills.
  •  Must be able to quickly and accurately count money and checks.
  •  Excellent written and verbal communication skills.
  •  Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

  •  Strong knowledge of banking systems.
  •  EPIC experience/knowledge.
  •  Proficient in Windows applications and hospital billing systems.

Licenses and Certifications Required:

  •  Must successfully pass completion of EPIC assessment within 30 days after Network access granted.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.