A/R Pay and Reconciliation Lead- PFS

Hunt Regional Healthcare; Greenville (AL); On-site; USD 55,000 - 75,000; Full time

Job summary

Hunt Regional Healthcare is seeking a Patient Financial Services professional to manage posting, reconciliation and analysis across hospital cash, lockbox and G/L entries. You will resolve posting variances, support EFT/check payments, and ensure timely reconciliations while delivering strong patient and payer service.

The role requires 3–5 years in medical billing and a solid understanding of the Revenue Cycle.

Qualifications

• High School graduate or equivalent.
• 3-5 years experience in medical billing and collections, patient accounting and insurance environment required.
• Must possess good patient and customer service skills.
• Demonstrates leadership skills.
• Must be able to work independently with minimal supervision.
• Ability to be a motivator, initiator and 'team builder'.
• Knowledge and experience with accounts receivable and payer guidelines.
• Computer knowledge to include experience with automated systems.
• Ability to operate office equipment.
• In depth knowledge of the Revenue Cycle and related workflows.
• Good written and verbal communication skills.

Responsibilities

• Post payment transactions on a daily basis.
• Reconcile bank lockbox and postings to the Hospital Information System.
• Maintain monthly payment reconciliation including bank deposits.
• Review identified variances within 48 hours of posting.
• Ensure entries relating to EFT and Check payments are recorded timely.
• Research and resolve posting variances and discuss with PFS Leader as needed.
• Promote and demonstrate excellent customer service in interactions with patients, physicians, and staff.
• Serve as a resource for team members and may direct and assign work.

Skills

Customer service

Leadership

Independent work

Critical thinking

Accounts receivable

PFS knowledge

Communication

Problem solving

Education

High School

Some college

Medical terminology

Tools

HealthLink

Job description

Position Summary

Specializes in receiving, recording and reconciling all patient payments and departmental funds received throughout the Hospital District.
Responsible for timely, intact, and accurate processing of hospital cash to the Patient Accounting system as well as postings to the General Ledger (G/L) for specific departments.
Post payment transactions on a daily basis.
Responsible for reconciliation of the bank lockbox, which includes completing the Cash spreadsheet indicating reconciliation between the lockbox and the Hospital Information System.
Requires analytical skills, and a thorough understanding and working knowledge of all phases of Patient Financial Services (PFS).
Good communication and public relation skills are a must for this position.
Special projects may be assigned as needed.

POSITION SUPERVISORY RESPONSIBILITIES

Reports To:
PFS Director
Supervises:None

POSITION REQUIREMENTS

Minimum Education

High School graduate or equivalent.

Minimum Work Experience

3-5 years experience in medical billing and collections, patient accounting and insurance environment required.

Required Licenses/Certifications

N/A

Required Skills, Knowledge, and Abilities

Must possess good patient and customer service skills. Demonstrates leadership skills. Must be able to work independently with minimal supervision. Ability to be a motivator, initiator and "team builder". Must be a critical thinker and problem solver in addition to the ability to set and achieve goals. Knowledge and experience with accounts receivable and payer guidelines. Computer knowledge to include experience with automated systems. Ability to operate office equipment, such as copy machines, fax machine and printers. Possess the ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills. Excellent troubleshooting skills, with the ability to communicate resolutions to customers. In depth knowledge of the Revenue Cycle and related workflows. Must have good written and verbal communication skills.

Preferred Qualification

Some college, Medical terminology

JOB SPECIFIC FUNCTIONS 20%

• Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
• Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
• Attends the required corporate integrity and compliance training and education programs.
• Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
• Complies with all HIPAA standards.
• Utilize contract management software to review payments posted to accounts to identify under and/or over payments.
• Review all identified variances within 48 hours of posting to account.
• Process credit card payments made by insurance one-time pay cards.
• Take corrective action to resolve payment posting errors (i.e. data extraction, education).
• Monitor all bank related collections and daily bank deposits for account payments and General Ledger payments.
• Serve as a resource for others within the District. Assist manager, director and CFO upon request.
• Acts as a resource for team members and may direct and assign the work of other employees.
• Serves as a "Subject Matter Expert" and works autonomously to handle more complex issues within established procedures and practices
• Disseminate all posted remits to the appropriate assigned Collector immediately following posting.
• Review the posting accuracy of remittances and reconcile to the appropriate remit time period.
• Work within multiple systems while meeting production, financial, and quality goals.
• Reconcile posting batches with the bank deposits and document on the Daily Payment Posting Log.
• Research and maintain current Unapplied Cash account weekly.
• Supports posting team members in problem solving and resolution as related payment posting.
• Communicate current and month-end reports for carry over and posting status.
• Maintain the monthly payment reconciliation, within the Bank application (i.e. HealthLink) including Lockbox and all Automated Clearing House (ACH) deposits
• Assist Collectors in resolving any payment posting variances.
• Ensure that entries relating to Electronic Funds Transfer (EFT) and Check payments are recorded timely and accurately (i.e. samemonth).
• Review payment reconciliation with Patient Accounts Manager each month and explain plan of action for resolving all variances.
• Assist with researching, explaining and resolving any posting variances, and involve the PFS Leader when needed.
• Promote and demonstrate excellent customer service at all times with internal and external customers to include patients,physicians, co-workers and all other customers
• Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
• Adaptable and responsive to change.
• Uses time clock accurately and is punctual on a consistent basis.
• Demonstrates a positive attitude in all assigned tasks and towards others.
• Communicates with staff members via staff meetings and/or informal meetings and email in a professional and effective manner.
• Consistently demonstrates an ability to assess situations, consider alternatives, and choose the appropriate course of action.
• Strives to recognize and evaluate personal strengths and weaknesses; handles personal and professional frustrationsappropriately.
• Maintains knowledge of current regulatory standards as they pertain to the department(s) and assures compliance and communication of standards to staff.
• Responsible for responding to any request for audits/account questions within three (3) business days of receipt.
• Address and return patient, customer and employee inquiries or concerns in a timely manner.
• Assist with implementation of strategies to maximize reimbursement in patient accounting. Generate and interpret reports to takeadvantage of resources.
• Assign and monitor workload volume and adjust as needed.
• Demonstrates an overall understanding of the Revenue Cycle.
• Resolve issues and/or concerns amicably in a timely manner and involves PFS Leader when needed.
• Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
• Adaptable and responsive to change.
• Demonstrates a positive attitude in all assigned tasks and towards others.
• Serve as a resource for others within the District.
• Assist with root cause analysis when errors and trends are noted.
• Perform special duties and projects as assigned