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Responsible for posting insurance and/or patient payments to Epic and balancing those postings to the bank deposits in a timely and accurate manner. Posting can include electronic processing of remittance posting files or manually posting payments from a paper remittance. Assists patients in face-to-face transaction processing. Answers patient questions related to their patient statement and collects patient copays and deposits according to insurance coverage regulations and our organizational financial policy.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Graduate or equivalent.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. Bookkeeping and cash balancing experience.
2. One (1) year medical billing/medical office experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Processes electronic remittances initiating transaction posting in Epic.
2. Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts.
3. Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account.
4. Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel.
5. Maintains timely and accurate posting according to departmental goals and report to management.
6. Documents accounts clearly and accurately.
7. Analyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department.
8. Uses system software, including online credit card systems and the Epic system.
9. Enters insurance information provided by patients and queue the billing department when required.
10. Processes cashier window related transactions via Epic application.
11. Collects patient copays and deposits according to insurance coverage regulations and our organizational financial policy.
12. Accurately communicates account information to our patients.
13. Maintains petty cash transactions and requests monthly reimbursement funds.
14. Accesses any scanned information via One Content imaging system.
15. Completes and reconciles bank deposits daily.
16. Utilizes Epic work queues to work exception accounts.
17. Reviews and reconciles all postings monthly with the accounting department as needed.
18. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Must be able to sit for extended periods of time.
2. Must have reading and comprehension ability.
3. Visual acuity must be within normal range.
4. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Office type environment.
SKILLS AND ABILITIES:
1. Excellent oral and written communication skills.
2. Knowledge of medical terminology preferred.
3. Knowledge of third party payers preferred.
4. Knowledge of business math preferred.
5. Knowledge of ICD-10 and CPT coding processes preferred.
6. Excellent customer service and telephone etiquette.
7. Ability to use tact and diplomacy in dealing with others.
8. Knowledge of patient accounting principles and procedures.
9. Working knowledge of computers.
10. Maintains knowledge of current online banking systems.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
535 SYSTEM Centralized Clearance Center
Address:
800 Wheeling AvenueGlen DaleWest Virginia
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
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