Payment Resolution Rep in Granger, Indiana at Beacon Health System

• Preparing patient checks, insurance checks and payment listings for posting, balancing and depositing.
• Posting all payments, contractuals, transfers, combinations and refunds on the data system within a 48-hour window.
• Balancing daily postings and reporting the deposits and postings to the Finance Department.
• Downloading the electronic cash posting remittance advices, preparing the remittance for posting, previewing, posting and running the appropriate reports.
• Investigates the source of unidentified payments to ensure they are applied to the appropriate accounts.
• Investigate deposits without remittances, obtains remittance from the payer and posts the payment.
• As a resource to staff when troubleshooting payment issues. Works to a resolution.
• Researching and resolving payment issues.
• Calculating, reviewing and researching contractuals claimed by third party payors. Works collaboratively with Cash Application/ Contract Management Coordinator to ensure accurate posting.
• Calculating and posting co-pays and deductibles to enable the Pathways Contract Management System to identify payment variances.
• On daily basis, interacting with patients, guarantors, third party administrators, insurance companies, employers and governmental agencies to resolve remittance advice and payment issues.
• Enter insurance billing information and creating insurance logs based on payment explanations.
• Telephoning, receiving, reviewing and sending correspondence and otherwise researching all non-patient cash received to properly determine ownership.
• Identifying, documenting and manually correcting problems with electronic software processes and collaborating with software vendor and Information Systems to resolve posting issues.
• Researching and resolving the lowest possible amount of unapplied cash on a weekly basis.
• Identify NPIs not enrolled in EFT/ERAs and completes the steps to get them enrolled ensuring that payments and remits are coming through as expected.
• Enrolling new sites and providers in EFT/ERAs.
• Notifying payers as needed to ensure that they are sending remits to the correct address.
• Works worklist in Cerner related to this role.

Performs preliminary patient accounts receivable and bank financing functions in accordance with established policies and procedures by:

• Answering account inquiries and resolving questions or problems at the Cashier's window.
• Documenting financial arrangements in the Star system, including payment plans, payroll deductions, and payment problems or variances, including the action taken.
• Reviewing the patient's account, accepting payment and issuing a receipt.
• Setting up patient payment plans, team member payroll deductions, explaining bank financing, determining prompt pay discounts and explaining new Hospital policies regarding payments.
• Obtaining and forwarding to Billing Services all third-party reimbursement information and other data ensuring the prompt and proper billing of patient accounts.
• Forwarding or coordinating the mailing of itemized statements, UB-04 forms, medical records information and other account information.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Assisting the Patient Accounts Services staff and other departments in the research and resolution of patient account payment posting problems.
• Completing other job-related duties and projects as assigned.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.