Remittance Process Analyst 1 / PA Remit Processing

Hartford HealthCare • Farmington, CT

92d

About The Position

Under the direction of the Patient Financial Services (PFS) Remit Processing Supervisor and Team Lead, perform duties necessary in posting payments to the proper patient accounts and Financial General Ledger (GL) accounts, via remittances, electronic files and/or checks, and paper files and/or checks in a timely and accurate manner, for multi-entity systems. These duties include the managing of the day-to-day operations for electronic and paper remits, bank Electronic Funds Transfers (EFTs) for the analysis, investigation, and follow up of postings, balancing, transfer payments, missing payments, refunds, and financial reports. Financial reports include daily, weekly, monthly and fiscal year end reports balancing.

Requirements

• Minimum: High School graduate or equivalent required.
• Preferred: Some college.
• Minimum of one to two years' experience of working in healthcare environment with office/hospital and billing/posting responsibility preferred.
• Working with bank reconciliation or accounting transactions within an office.
• Understanding posting of cash receipts, reconciliation of daily cash as well as understanding of debits/credits.
• Preferred: Minimum of one to two years banking or bookkeeping experience or equivalent.
• Basic computer skills and typing skills.
• Knowledgeable on Microsoft Excel.
• Understanding insurance remittances, explanation of benefits, and insurance requirements.
• Understanding insurance terminology.
• Understanding hospital billing.
• Ability to communicate effectively both orally and in writing.
• Extensive knowledge of Microsoft Word and Excel.
• Good math skills and understanding of balancing and reconciling.
• Demonstrates ability to work in a fast-paced, high volume working environment.

Nice To Haves

• Experience with EPIC system.
• Experience in a healthcare financial services role.

Responsibilities

• Completes daily offsets to patient accounts in EPIC-Patient Accounts Receivable (AR) system.
• Balances the daily postings to the offsets.
• Posts outstanding remittances/explanation of benefits, ensuring deposits are timely.
• Reviews all requests for payment postings, transfers, posting errors and validation of action needed for potential correction.
• Works in the Remittance work queues to ensure all issues are attended to.
• Receives, opens, sorts, prepares large volume of mails for remittance processing.
• Processes payments via EPIC and manual remits through EPIC system.
• Reviews and analyzes accounts to assure payments/adjustments are posted correctly.
• Proactively reports on daily outstanding, pending, posted, and external items.
• Works with billing collectors to locate unknown payments that cannot be posted.
• Determines if the payments are postable or need to be refunded.
• Works closely with Revenue Cycle Business Analyst and Team Lead for any questions or training needed.
• Verifies payments through set workflows or standard work and prepares for posting.
• Contributes to meeting team goals by attending training for new or current workflows.
• Works with outside vendors to analyze and correct system issues.
• Responsible for maintaining and retrieving communication from payer websites.
• Participates in growth and development of department and maintains good working knowledge of computer systems.

Benefits

• Competitive benefits program designed to ensure work/life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED