Description

Posting Representative

Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. We are seeking qualified, like-minded nurse's to join our team!

PURPOSE

Under the direction of the Cash Management Supervisor, the incumbent is responsible for manual and/or 835 Auto-posting revenue related cash receipts (e.g. government, commercial, private payers, and patient payments) into the AR system both timely and accurately, with ability to trend and communicate discrepancies and areas of attention / improvement.

Responsibilities include:

Work is performed in accordance with established standards/guidelines and requires knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues. Also requires expertise in supervising and evaluating the work of support staff. An incumbent works with higher level management on major operational or business decisions prior to implementation

ESSENTIAL JOB RESPONSIBILITIES:

The following section contains representative examples of job duties that might be performed in positions allocated to this job class. Galen Medical Group is a dynamic organization, and the environment can be fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as the primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.

1. Ensures cash is posted accurately and timely in accordance with the Galen Medical Group CBO cash processing standards to relieve outstanding receivables.
2. Prepares source documents, i.e. lock box, patient portal, mail / fax payments, etc. received the previous day, meeting daily quota guidelines with minimal errors.
3. Accurately and timely post revenue-related AR cash receipts, approved adjustments, and/or denials
4. Convert payer-specific denial or payment codes into HIPAA complaint reject codes as necessary
5. Download 835 files as needed from clearinghouse website and upload into billing system.
6. Works all rejections daily to ensure posting batch balances
7. Ensures all unidentified cash and checks are researched timely to identify the appropriate patient account, including contacting the source of payment to procure additional information to allow for accurate identification and posting of payment. Unidentified cash is to be resolved on a weekly basis.
8. Reviews reconciliation sheets to ensure all cash, lock box, and deposits are reconciled, posted and balance to the bank deposits.
9. Generates daily balancing reports and reviews/corrects discrepancies prior to day close. Ensures all posting batches are balanced.
10. Works offset and clearing accounts in a timely manner to eliminate balances in these transaction accounts.
11. Understands and refers to managed care profiles, AWP grids, and other tools necessary to determine proper insurance payments / contractuals
12. Works up and posts zero Pay EOBs daily, as included in the lock box for proper distribution to other teams.
13. Marks appropriate accounts for Review Status.
14. Research, track, and trend payment discrepancies and communicates trends and/or items requiring attention.
15. Works with internal and external customers to resolve billing/payment-posting discrepancies by taking appropriate action (rebilling manual, transferring, reversal, etc.).
16. Meet / exceed productivity goals and quality standards.
17. Meets all productivity / quality guidelines established for this position
18. Participates in mid-month and month-end balance / reconciliation as assigned by Supervisor.
19. Maintains daily close schedule as coordinated by Supervisor.

KNOWLEDGE/ SKILLS/ EXPECTATIONS:

• Promote the mission, vision, and values of Galen Medical Group.
• Maintain confidentiality of all patient, medical, financial, and legal information.
• Report to work on time and as scheduled.
• Wear identification during work hours.
• Represent the organization in a positive & professional manner.
• Ability to handle difficult situations involving patients, physicians, or others in a professional manner.
• Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
• Comply with all organizational policies and standards regarding ethical business practices.
• Participate in performance improvement and continuous quality improvement activities.
• Attend regular staff meetings and in-services as directed by your manager.
• Consistently demonstrate the value of the team concept.
• Ability to manage multiple and simultaneous responsibilities.
• Complete assignments efficiently and in a timely manner.
• Understands and abides by OSHA, HIPAA & CLIA standards

The above job description is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.

Qualifications

QUALIFICATIONS:

High school graduate or equivalent / Some college course work is preferred

One to two related work experience that demonstrates attainment of the requisite job knowledge and abilities.

Excellent keyboarding and 10-key skills are required

Strong computer and math skills

Basic knowledge of payer guidelines relative to reimbursement

As part of the Galen Medical Group, the applicant must be a team player and provide excellent customer service while assessing our patients needs efficiently. Perform all duties in compliance with Galen Medical policies, HIPAA, and OSHA standards.

Galen Medical Group is a member of the TN Drug-Free Workplace and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.

Why should you apply?

• 401(k) benefits.
• Education reimbursement.
• Holiday Pay.
• Great earned time-off policy.
• Company-paid Life Insurance & Long Term Disability.