Claims Analyst Poster

Full Time
Montrose, CO 81401
Posted
Job description

Position Overview:


The PFS AR/Cash Posting Clerk has the primary responsibility of posting all daily incoming cash to the AR. Including 835's, EFT and mail deposits. This position ensures that patients and insurance company payments and adjustments are properly deposited, posted and balanced for all payment types. Collaborates with the rest of the PFS team to streamline workflows to maximize clean accounts.



Essential Functions:


People:


1.Communicates openly in a non-judgmental and professional demeanor during all interactions with customers and co-workers.

Service:

1. Communicates directly with external vendors and accounting related to client account payment posting.

2.Works with manager to address workflow obstacles for continuous improvement.

3.Assists Claims Analysts, Accounting and Customer Service with patient account concerned with lost payments and/or posting discrepancies.


Quality/Safety:

1. Post incoming cash daily and resolve associated errors

2. Work unapplied cash accounts at least once a week to assure monies applied to appropriate accounts or returned to payer.

3. Coordinates cash posting processes so that transactions are efficient, through setting up all electronic 5010 payers whenever possible, and assures cash is balanced each day.

4. Monitors payments for overpayments and over contractuals for compliance with regards to CMS, HCPF and other payer regulations.

5. Responsible for accessing and using all pay portals, electronic remittance advices, EOB access, denial transactions, payment and adjustment libraries/dictionaries, and scanning of daily batches.

6. Maintains accurate collection logs that balance to bank deposits.

7. Works with other cash posting team to ensure productivity standards are met.

8. Responsible to balance incoming cash daily and finalizing at each month end.




Finance:

1. Conduct research for accounts held in holding accounts and coordinate with accounting at least monthly to reconcile and move.

2.Participates in departmental and hospital performance improvement plan.

3.Achieve PFS department Goals monthly as prescribed by the CFO of this facility.


This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. Montrose Memorial Hospital reserves the right to revise or change job duties and responsibilities as the need arises.


Physical Demands and Working Conditions:


While performing the duties of this job, the employee is regularly required to see, talk and hear. The employee frequently is required to sit and use hands along with fingers, to handle or feel. The employee is occasionally required to stand, walk, reach with hands and arms, climb or balance, and stoop, kneel, crouch or crawl, able to sit and type for extended periods of time. Expected to demonstrate excellent customer service technique when working with peers and leadership.



Qualifications & Skills:

a) Education: High School Graduate or GED.


b) Training & Experience: Previous Accounts Receivable / Cash Posting experience; Customer service background; Multi-task background.


c) 1-2 years' experience preferred and knowledge in, general accounting, accounts receivable, cash posting or accounts payable.


d) Skills: Proficient typing-keyboarding skills required / computer literate / spelling proficiency / legible handwriting / must be able to speak and read the English language at an acceptable level / good communication skills / works well with public / interpersonal skills / problem solving / prioritizing skills / detail oriented/ math skills.

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