Payments & Reconciliation Specialist II

Kennedy University Hospitals, Inc; Illinois; On-site; USD 24,000 - 34,000; Full time

Job summary

Kennedy University Hospitals, Inc is seeking a Revenue Cycle Representative II to handle payment research and reconciliation for the Jefferson Revenue Cycle Enterprise. You will work with Payment Representatives, Accounting and Finance to investigate and resolve issues impacting cash processing.

The role requires strong Excel/Access, Windows 10 proficiency, and the ability to navigate payor portals such as Navinet while adhering to QA standards and productivity benchmarks.

Qualifications

• Education - Required High School Diploma/GED
• Education - Preferred Bachelor’s Degree Accounting, Finance or Business
• Knowledge, Skills and Abilities - Required Proficient in Windows 10 and Microsoft Office. Strong MS Excel and Access skills required.
• Ability to work independently and as part of a team with minimal supervision Proficient in web tools and technology
• Knowledge of accounting ledgers and balance sheets
• Strong organizational and interpersonal skills; excellent verbal and written communication skills
• Knowledge, Skills and Abilities - Preferred Knowledge of Epic EDI related experience Medical billing and or banking experience preferred

Responsibilities

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Identify and resolve payment issues through research and investigation.
• Review explanation of benefits to confirm payments were applied appropriately.
• Contact third party payors or view payor portals to obtain additional information as necessary.
• Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.
• Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department’s established productivity benchmarks.
• Interprets and validates transaction postings of payments and denials received from third party explanation of benefits either in the form of batched images or via electronic remittance posting work queues.
• Research over-posted or undistributed credit balances via credit work queues.
• Confirm that cash records are properly linked to associated payment batches prior to posting.
• Ensure that batches are posted, reconciled, closed and processed timely and accurately.
• Communicate possible system and reimbursement issues to the supervisor who will facilitate a review and analysis of the potential impact and confirm best course of action.
• Adhere to workflows and ensure quality assurance standards are maintained at all times.

Skills

Windows 10

MS Excel

MS Access

Communication skills

Teamwork

Verbal & written communication

Epic EDI

Education

High School Diploma/GED

Bachelor’s Degree Accounting, Finance or Business

Tools

Navinet

Microsoft Office

Job description

Kennedy University Hospitals, Inc is seeking a Revenue Cycle Representative II to handle payment research and reconciliation for the Jefferson Revenue Cycle Enterprise. You will work with Payment Representatives, Accounting and Finance to investigate and resolve issues impacting cash processing.

The role requires strong Excel/Access, Windows 10 proficiency, and the ability to navigate payor portals such as Navinet while adhering to QA standards and productivity benchmarks.