EOB Payment Processor

CO500 Nebraska Methodist Health System; United States; On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Competitive pay

Excellent benefits

Great work environment

Job summary

Nebraska Methodist Health System is seeking an experienced Billing Clerk in Omaha to support the finance team with payments processing and posting. You will code and reconcile EOBs, manage EFTs, and handle paper checks with timely accuracy in a fast-paced setting.

The role requires a high school diploma or GED (bookkeeping classes preferred) and at least one year of data entry or cash handling experience. Strong computer and communication skills are essential as you will work across multiple

Qualifications

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

Responsibilities

• Manual payment processing for insurance and patient pays. Accurately code and prepare all EOBs for manual posting including “0” pays.
• Scanning coversheet process. Correct Header to match Batch ID utilized. Correct Date used to match activity/post date.
• Electronic spreadsheet data maintained. Timely input of data from electronic payment reports. Daily balancing utilizing required columns.
• Correction batches and transfers. Batches with appropriate description within 48 hours. Transfers processed within 48 hours with proper postings.
• Timely management of EFTs within 48 hours. Daily check the EFT spreadsheet for payer entries. Manually post EFT EOBs within 48 hours.
• Timely processing of paper checks for posted 835 files. Process checks within 24 hours. Update spreadsheet with receipt date.
• Maintain work folders. Place processed work in correct boxes and inform staff of contents.
• Research missing EOBs or pending checks. Follow up on missing items and document in pending work communication.
• Timely processing of Unassigned Account entries. Research within 48 hours and follow up on manual posts within 30 days.
• Process referrals and other duties assigned, assist with required testing projects and daily HP24/LockBox reporting.

Skills

Strong computer skills

Good communication skills

Math principles

10-key calculator by touch

Read/write English

Education

High school diploma / GED

Bookkeeping classes preferred

Tools

Microsoft Office

Microsoft Excel

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. Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

• We offer competitive pay, excellent benefits and a great work environment where all employees are valued!

Job Summary:

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

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

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

Responsibilities:

• 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.
• 2. Scanning coversheet process. Correct Header to match Batch ID utilized. Correct Date used to match activity/post date. EOB column matches with check column.
• 3. 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.
• 4. 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.
• 5. 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.
• 6. 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.
• 7. 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.
• 8. 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.
• 9. 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.
• 10. 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.

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 affirmative 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.

At Methodist Health System, we focus on providing exceptional care to the communities we serve and the 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. If you join our organization, you will have the opportunity to excel in your field, use the latest technologies, learn from the best and work as a team. You’ll have the opportunity to make a difference through The Meaning of Care.