EOB Payment Processor

Best Care•Omaha, NE

5d•Onsite

About The Position

Responsible for all payment processes for insurance and patient pays. This role involves manual payment processing for insurance and patient payments, including accurately coding and preparing EOBs for manual posting. It also includes scanning coversheet processes, maintaining electronic spreadsheet data, handling correction batches and transfers, managing EFTs, processing paper checks for posted 835 files, maintaining work folders, researching missing EOBs or pending checks, and timely processing of Unassigned Account entries. The position also includes processing referrals and other assigned duties, assisting with testing projects, daily reporting and balancing of HP24 and LockBox reports, reviewing and correcting the Split Payment report, communicating with VNA and handling transfers, monitoring and applying payments to Employee Payroll deductions and patient’s Bank Loans, and processing electronic payments from FNBO bill pay.

Requirements

High school diploma, General Educational Development (GED) or equivalent required.
One year data entry, balancing, or other related experience required.
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.

Nice To Haves

Bookkeeping classes preferred.
Prior cash handling experience, balancing, or reconciling strongly preferred.
Microsoft program experience preferred.

Responsibilities

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