About The Position

Something special starts here. You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health. You'll find everything you’re looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We’re looking for you. Job Description I. JOB SUMMARY The Patient Accounts Representative is responsible for maintaining accurate and timely posting of all payments remitted to the hospital via electronic payor 835 files, lockbox payments, or checks received in the mail from patients and insurance companies. Prepares the daily deposit and ensures its accuracy. The posting of payments includes posting managed care adjustments and insurance denials when indicated on the Explanation of Benefits (EOB)/remittance advice. Analyzes payments and adjustments for accuracy. Displays flexibility regarding work assignments.

Requirements

  • High School diploma or equivalent

Nice To Haves

  • Two years previous experience in similar position

Responsibilities

  • Posts payments and adjustments from an electronic 835 file and ensures each batch is balanced and reconciled daily.
  • Posts payments and adjustments from bank lock-box and ensures each batch is balanced daily.
  • Posts other types of payment and adjustments from collection agencies, interoffice transfers, time of service and credit card payments.
  • Reviews Explanation of Benefits (EOB) from insurance companies to assure proper payment and adjustment has been received.
  • Accurately prepares and balances the daily deposit to be submitted to the banking institution.
  • Performs audits of postings to ensure accuracy and timely payment processing. Ensures timely follow up and appropriate escalation of remittance advice and payment issues with third party payers.
  • Maintains knowledge and ensures compliance with third party payer and government billing requirements.
  • Understands the importance of internal customer service while maintaining a positive working relationship and communicating appropriately.
  • Responds timely to patient, internal and external customer questions and concerns, treating them with respect and dignity.
  • Performs other duties as assigned or requested.

Benefits

  • Tuition reimbursement to support continuing education
  • Professional development and recognition
  • Excellent benefits
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