JOB SUMMARY

Retrieve and prepare all electronic insurance remittances and prep them for posting to accounts utilizing Quadax and MS4/Soarian patient accounting system. Process all paper remittances and key into the patient accounting system. Maintain a reconciliation of all remits and posted payments to the AR balance. This position reports to the Cash Posting Supervisor and the Director of the Finance/Accounting.

JOB REQUIREMENTS

Minimum Education

• High School Diploma or equivalent is required.

Minimum Work Experience

• Prior insurance experience preferred, but not required.
• On the job training will be provided.

Required Skills

• Communication skills required
• Computer skills required

FUNCTIONAL DEMANDS

Physical Requirements

Sitting - 1-32%

Walking - 1 – 15%

Standing - 1 – 15%

Bending/Squatting - 1-15%

Climbing/Kneeling - 1-15%

Twisting - 1-15%

OSHA Category

Minimal potential for direct exposures.

Visual and Hearing Requirements

Must be able to see with corrective eye wear.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 100lbs

Pushing - up to 100lbs

LEADERSHIP CAPABILITIES

Mission, Service, and Values

Supports the hospital Mission, Service and Values.

ESSENTIAL FUNCTIONS

Essential Functions

• Verifies tape which was run by the Cashier/Mail Clerk, on all insurance remittances.
• Verifies all patient account numbers on remittances and makes all needed corrections.
• Enters credit notes detailing the amounts that are the patients’ responsibilities, deductibles, and co-payments.
• Prepares and figures all needed discounts and allowances.
• Copies and sends all denials to the insurance follow-up clerks.
• Daily and monthly balancing of all transactions related to cash
• Post all adjustments and denials received from all areas within one day.
• Maintain and update the web based credit card software to ensure that all credit card payments are processed daily.
• Maintain and update the web based credit card software to ensure that all credit card payments are processed daily.
• Assists insurance billing clerks, as needed.
• Assist in maintaining Soarian work-list assigned to Cash Management Team.
• Maintain a log / batches of daily cash posting both paper and electronic remits.
• Any other duties as assigned.

ORGANIZATIONAL EXPECTATIONS

T.J Pledge

I Will Show Compassion

• see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.
• recognize that each and every interaction I have at T.J. Regional Health matters
• show kindness and compassion towards my customers at all times
• be sensitive to the personal and private needs of every customer

I Will Cooperate With Others

• maintain zero tolerance for abusive behavior
• listen and be willing to accept fault when I make a mistake
• never underestimate the power of an apology
• refrain from blame and judgment
• bring a sense of calm to stressful situations

I Will Collaborate With Others

• value myself and every coworker as an equal part of one GREAT team working together
• treat others in a way that I would like to be treated
• participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health
• foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults
• speak honestly, seek truth, and act with integrity towards my teammates
• value the uniqueness and expertise that each team member contributes to the whole
• meet the need of the moment, regardless of whether or not it is considered part of my job

I Will Communicate

-smile - at everyone

• always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction
• follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away
• escort any customer in need (visitors, patients) to their destination

I Will Adapt To Change

• be a part of the solution when I am presented with a challenge
• embrace change and set the example for those around me
• accept openly when there are changes that T.J. Regional and/or I have no control over
• manage the expectations of others by explaining duration and next steps as often as needed

I Will Be A Champion

• serve with passion
• view myself as an owner of T.J. Regional Health and act accordingly
• take responsibility for the physical appearance of T.J. Regional Health, including my work area
• go out of my way to daily thank and compliment my customers and coworkers
• dare to make a difference and be exceptional
• constantly try to improve myself and T.J. Regional Health
• speak positively about T.J. Regional, while at work and in public places outside of work