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Posting Specialist - Cordele, GA, United States - Crisp Regional Health System
Description
Position Summary:Under the leadership of the Director, Patient Financial Services, the Posting Specialist, is an active member of the Patient Accounting team that delivers professional accounting services and support that is consistent with the strategic vision, goals, philosophy and direction of Patient Accounting and CRHS. The Posting Specialist processes hospital cash and verifies that all control functions are maintained. The Posting Specialist receives remittances and records proper account numbers and ensures that receipts are posted to the proper patient account. The Posting Specialist calculates and posts contractual allowances according to agreement. The Posting Specialist also prepares daily bank deposits and verifies deposit balances with daily cash balances posted.
Basic Qualifications:
• Education:
Requires a high school diploma or a GED state certification. An Associate's degree in Accounting is preferred.
• Experience:
Requires two to four years of work-related experience in accounting or bookkeeping or any equivalent combination of education, training and experience. Experience in healthcare-related accounting or bookkeeping is preferred.
• Licensure, Registrations & Certifications:
This job does not require any licenses, registrations or certifications. Billing Specialist Certification or Patient Account Representative certification (CPAR) preferred.
Essential Job Responsibilities:
• Processes hospital cash in a manner that is timely, intact, and accurate.
• Verifies that all control functions assigned are maintained.
• Receives mail, downloads and secures electronic remittances and related information daily, records proper account numbers to each remittance. Ensures that receipts are posted to proper patient accounts.
• Calculates and posts contractual allowances according to agreement with third party payer if allowance was not taken at time of billing.
• Prepares daily bank deposits for all window, mail, outpatient, dietary, bad debt and miscellaneous remittances.
• Verifies that daily bank deposits balance to daily cash balances posted.
• Maintains logging procedures and ascertains that logs are kept current at all times and balanced on a monthly basis.
• Records payments and contractual adjustments on patient accounts in accordance with Medicare/Medicaid reimbursement guidelines for logs.
• Corrects errors discovered on patient accounts and manually adjusts insurance balances when necessary.
• Assists when necessary in submission of claims on a timely basis.
• Reviews all problem bills to determine reasons for and resolution of problems, and delegates back to Patient Account Representatives for billing.
• Conducts Continuous Quality Assessment and Improvements in the Posting Specialist area.
• Prepares any reports or statistics as required.
• Ensures all accounting entries are made in accordance with generally accepted accounting principles and CRHS policy.
• Attends in-service training, education programs and meetings as required or directed.
• Adheres to established CRHS and departmental policies and procedures, objectives, quality assurance, safety, environmental, and infection control.
• Performs other related job duties as assigned.
Standards of Performance:
• Receives all payments remitted to CRHS, processes and enters them into the appropriate account legers.
• Prepares cash receivable journal entries and balances receipts against checks and currency.
• Refers patients to a Financial Counselor if bills cannot be paid in full.
• Records and verifies charge entries from various departments.
• Answers insurance proration and patient billing questions.
• Participates in education as required through mandatory department in-services and continuing education as measured by education and attendance records.
• Demonstrates adherence to CRHS Standards of Behavior as measured by coworkers and supervisor observations.
• Demonstrates reliability as measured by compliance with CRHS Time and Attendance policies.
Demonstrates professional conduct by maintaining strict confidentiality and compliance with HIPPA standards as measured by valid complaints given to the Supervisor or Director.