McPherson Hospital -

Job description

Mission statement

Superior health care and exceptional service for each person, every time.

Vision

To be a vibrant and thriving five-star center for health, serving as our community's first choice for health and wellness.

Our C.A.R.E. Values

• Compassion - I will treat everyone with kindness, acceptance, empathy, and understanding.
• Respect - I will value the feelings, wishes, rights, and traditions of everyone without judgment.
• Excellence - I will strive to understand and exceed the expectations of others.

Benefits :

• Medical Insurance
• Dental
• Vision
• Flex Spending / Dependent Care Spending
• Health Savings Account
• Employer paid Life Insurance
• Employer paid Short and Long-Term Disability
• Employee assistance program
• Flexible spending account
• Paid time off.
• 403 (b) Retirement plan- up to 4% employer match
• Free 24-hour fitness center

Job Title : Posting & Reconciliation Specialist

Full-time : Days, M-F (8hr shifts)

Job Summary : The Posting and Reconciliation Specialist will be responsible for routine posting and reconciliation of incoming Electronic Remittance Advice (ERA’s) from carriers, incoming paper checks, explanation of Benefit (EOB’s), self-pay and general ledge payments.

They will assist with daily payment reconciliation and ensure monies due to the facility are properly posted in the electronic system.

Responsibilities

• Analyze and interpret EOB information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.
• Post and reconcile payments received via ERA / AFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.
• Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.
• Assist with credit or negative balances (Medicare, Medicaid, communicate necessary credits) as part of monthly maintenance and reconciliation;

communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.

• Perform routine audits to ensure Accounts Receivable (A / R) days remain within threshold.
• Ability to work in a detail-oriented environment with firm deadlines.
• Must be able to collaborate with internal peers and external contacts.
• Ability to exercise independent judgement and problem-solving.

Education / Experience

Highschool diploma or equivalent

Minimum 1-2 years medical payment posting and reconciliation and / or 2-4 years relevant experience with Patient Financial Services.

Skills

• Working knowledge of medical billing, insurance carriers, and payment methodologies.
• Data entry and working knowledge of computers and various hardware / software (Outlook, Excel, Teams, copier / fax machine, calculator)
• Ability to navigate clearinghouse and insurance portal websites.
• Experience with Electronic Health Record systems.
• Must be able to lift 10-15lbs. infrequently.
• Sitting 90% Standing 10%

We are an equal opportunity employer and prohibit discrimination / harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Last updated : 2024-05-09