Payment Posting Specialist-Clerical Support PFS

4 weeks ago

Truckee, California, United States Tahoe Forest Health Full time
Job Summary

We are seeking a highly skilled Payment Posting Specialist to join our team at Tahoe Forest Health. As a Payment Posting Specialist, you will be responsible for performing various complex clerical tasks, including accurate daily cash posting of all Patient Account Receivables and General Ledgers receipts.

Key Responsibilities
  • Payment Processing: Work in the US Bank system to scan and/or index Explanation of Benefits (EOBs) to distribute electronically to the Patient Account Representatives.
  • Cash Control: Scans refund back-up into Real Vision Software (RVI) for PFS Refund/Denial Specialist.
  • Correspondence Distribution: Distributes payer correspondence, if it comes by mail or in US Bank, to distribute to correct PFS Cash Poster or PFS Patient Account Representative on a daily basis.
  • Mail Preparation: Opens and prepares daily mail that is allocated to go FedEx to US Bank lockbox.
  • Legal Document Requests: Assists with and processes legal document requests from Health Information Management (HIM) for itemized bills.
  • Correspondence Conversion: Assists with posting zero correspondence and EOBs identified during the correspondence conversion process having a non-matching "bad" account number.
  • Mail Organization: Assists with moving mail to proper areas in the health system.
  • Refund Processing: Assists Refund/Denial Specialists, including sending out refund checks.
  • Payment Receipt and Processing: Receives and processes all types of payments for Tahoe Forest Health System by properly documenting and entering transactions into the systems promptly as assigned by the Payment Posting Lead &/or the PFS Manager.
  • Batch Processing: Prepares batches, posts, and processes payment batches; post denials, contractual adjustments, and ensures all batches are in balance.
  • EOB/RA Analysis: Analyzes EOB/RA information, including co-pays, deductibles, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances.
  • Payment Posting: Posts batched payments to patient account(s) & GL account(s) when directed by Payment Posting Lead &/or the PFS Manager within one (1) business day of receipt.
  • Unidentified Payments: Investigates the source of unidentified payments from "unable accounts" to ensure they are applied to appropriate accounts within seven (7) calendar days. Maintains tracking & logging systems as necessary to follow up.
  • Cash Accuracy: Maintains a 98.9% or higher accuracy rate for daily cash postings & balancing purposes.
  • Cash Discrepancies: Researches & resolves any cash incorrect posting and/or deposits within two (2) business days.
  • Log Maintenance: Maintain log sheets & transfer of information to other outside departments in a timely manner.
  • Cash Reconciliation: Maintains daily cashier reconciliation and reports any discrepancies to management.
  • Spreadsheet Development: Develops & maintains all necessary spreadsheets for pertinent cash receipt information as needed by PFS Manager, Revenue Cycle Director & Finance, including any & all necessary audit logs required for cost reporting and/or third party audits.
  • Electronic Remittances: Electronic remittances cleared daily as posted and un-cleared remittances, researched and resolved within five (5) business days.
  • Cash Application Databases: Maintains all Cash Application databases & runs all necessary queries for reporting purposes. Develops complete audit trails and systematic functions & reporting under Corporate Compliance guidelines.
  • Cash Control Functions: Responsible for verification that all cash control functions assigned are maintained daily.
  • Financial Stability: Ensuring the economic stability of the hospital to continue its mission & complies with system policies, procedures, & demonstrates System Values in performance and behavior.
  • Financial Efficiency: Maintaining a financially sound organization through improved efficiencies and adapts quickly to changing technology.
  • Financial System Understanding: Maintains a thorough understanding of the financial system and efficiently utilizes the system, such as EPIC, Excel, US Bank (Payment Consolidator), among others.
  • Financial System Delays: Reports financial system and/or related patient accounting peripheral system delays, concerns, or issues to the team Lead &/or the PFS Manager.
  • Team Goals: Keeps abreast of Team & Department Goals (AR Days, Cash Goals, Bad Debt, etc.).
  • Confidentiality: Adheres to the hospitals Administrative Policy regarding Patient Confidentiality.
  • Teamwork: Works collaboratively and participates in a team spirited fashion, with other hospital staff and team members. Strives to recognize individual and team achievements.
  • System Values: Demonstrates System Values in performance and behavior.
  • System Policies: Complies with System policies and procedures.
  • Other Duties: Other duties as may be assigned.

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