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POSITION PURPOSE

Responsible for processing all payments and adjustments received to the SSC timely and accurately.

ESSENTIAL JOB FUNCTIONS:

• Process all payments and adjustments received in an accurate and timely manner.
• Post all payments received through the lockbox, EFT, or mailroom and adjustments as identified by insurance explanation of benefits.
• Correct payment posting errors. Balances posted payments before leaving each day.
• Submits required paperwork (journal, batch out, batch cover sheets) daily.
• Works to identify and resolve payment posting issues.
• Researches and transfers payments in Unidentified timely. Maintains knowledge of the transaction codes and proper utilization.
• Ensure confidentiality of all patient accounts by following HIPAA guidelines. Adheres to compliance of CMS and other payor guidelines.
• Communicate daily with management on payor trends identified. Attend in-services, education sessions and department meetings as scheduled.
• Responsible for following up and maintaining patient accounts that require payment research and resolution.
• Demonstrate knowledge of area; understand various computer programs/applications necessary to perform
• assigned job function.
• Responsible for reviewing payment reports and obtaining EOBs for processing.
• Ability to perform all other duties as assigned or requested.

EDUCATION:

• High school diploma required

EXPERIENCE:

• Six months experience in a hospital or medical facility setting OR have taken a minimum of one college or certificate program course in related area required.