EOB Payment Processor

Best Care; Omaha (NE); On-site; USD 40,000 - 52,000; Full time

Job summary

Nebraska Methodist Health System in Omaha, NE is seeking a Payment Processing Specialist responsible for all payment processes for insurance and patient payments. Work schedule is Monday through Friday, 8:00am to 4:30pm at the Methodist Corporate Office.

Key duties include manual posting of payments and EOBs, EFT processing within 48 hours, daily balancing, and maintaining electronic spreadsheets. The role requires a high school diploma or GED (bookkeeping classes preferred) and at least one

Qualifications

• High school diploma, GED or equivalent required.
• Bookkeeping classes preferred.
• One year data entry, balancing, or related experience required.
• Prior cash handling experience, balancing, or reconciling strongly preferred.
• Microsoft programs experience preferred.

Responsibilities

• Manual payment process for insurance and patient pays.
• Accurate posting of EFTs and EFT-related data within 48 hours.
• Daily balancing and data entry into electronic spreadsheets.
• Follow up on missing EOBs and pending checks; document status in pending work communication.
• Maintain organized work folders and communicate batch status to scanning staff.

Skills

Strong computer skills

Good communication

Math principles

10-key calculator by touch

Read/write English

Education

High school diploma GED

Bookkeeping classes preferred

Job description

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE

Work Schedule: Mon - Fri, 8:00am to 4:30pm

Responsible for all payment processes for insurance and patient pays.

Essential Functions

1. Manual payment process for insurance and patient pays.

• Accurately code and prepare all EOB’s for manual posting including “0” pays.
• Primary payer manual postings maintained within 48 hours.
• Accurate preparing of patient pays with manual posting in 24 hours.

1. Scanning coversheet process.

• Correct Header to match Batch ID utilized.
• Correct Date used to match activity/post date.
• EOB column matches with check column.

1. Electronic spreadsheet data maintained.

• Timely input of data from electronic payment reports.
• Daily balancing utilizing on required columns.
• Knowledge of paper trails and future recoupment payments.

1. Correction batches and transfers.

• Correction batches with appropriate description within 48 hours.
• Transfers processed within 48 hours including transfer form and appropriate posting as needed.
• Correction batch and transfer information entered on scanning cover sheet and into electronic spreadsheet.

1. Timely management of EFT’s within 48 hours.

• Daily check the EFT spreadsheet for your payer entries.
• Manually post EFT EOB’s within 48 hours.
• Correct EFT information when processed to Accounting Balancing Clerk.

1. Timely processing of any paper checks received for posted 835 files.

• Process paper checks received for 835 files within 24 hours.
• Present accurate information to Accounting Balancing Clerk for paper checks.
• Update electronic spreadsheet with paper check receipt date.

1. Maintain work folders.

• Place processed work in correct boxes for balancing and give appropriate batches to scanning department.
• Store pending work in pending work cabinet and communicate is contents to appropriate staff at end of work day.

1. Research missing EOB’s or pending checks.

• Follow up on any EOB’s not received that match with EFT deposits.
• Follow up on any outstanding check not received that match with 835 file postings.
• Document this information in your pending work communication.

1. Timely processing of Unassigned Account entries.

• Research any 835 entries within 48 hours.
• Follow up with any manual posts within 30 days by doing check request or following regarding incorrect recoupment.
• Document this information in your pending work communication.

1. Process referrals and other duties assigned.

• Process referrals received within 48 hours.
• Process any other duty within the time designated.
• Assist as needed with required testing projects.
• Reporting/Balancing HP24 reports daily.
• Reporting/Balancing LockBox daily.
• Reviewing and correcting the Split Payment report daily.
• Communicating with VNA and handling all transfers daily.
• Monitors and applies payments to Employee Payroll deductions.
• Monitors and applies payments to patient’s Bank Loans.
• Process electronic payments from FNBO bill pay.

Schedule:

Mon - Fri, 8:00am to 4:30pm

Job Description:

Job Requirements

Education

• High school diploma, General Educational Development (GED) or equivalent required.
• Bookkeeping classes preferred.

Experience

• One year data entry, balancing, or other related experience required.
• Prior cash handling experience, balancing, or reconciling strongly preferred.
• Microsoft program experience preferred.

License/Certifications

• N/A

Skills/Knowledge/Abilities

• Strong computer skills, ability to work in multiple systems
• Must demonstrate good communication skills and math principles.
• Requires the ability to operate a 10-key calculator by touch.
• Requires the ability to read and write English.

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

Occasionally Performed (1%-33%):

• Balancing
• Climbing
• Carrying
• Crawling
• Crouching
• Distinguish colors
• Kneeling
• Lifting
• Pulling/Pushing
• Reaching
• Standing
• Stooping/bending
• Twisting
• Walking

Frequently Performed (34%-66%):

• Hearing
• Repetitive Motions
• Seeing/Visual
• Speaking/talking

Constantly Performed (67%-100%):

• Fingering/Touching
• Grasping
• Keyboarding/typing
• Sitting

Job Hazards

Not Related:

• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Electrical Shock/Static
• Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

Rare (1-33%):

• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affiantive Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.