Remittance Process Analyst 1 / PA Remit Processing

Hartford Healthcare•Farmington, CT

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.
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 and understanding of debits/credits.
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 oral and written, with internal/external customers/patients.
Extensive knowledge of Microsoft work, and excel.
Complete yearly healthstream requirements timely, includes any additional learning/training assigned.
Maintains required level of technical and/or professional learning and updates to systems, laws, compliance issues, etc.
Basic communication and interpersonal skills.
Good math skills and understanding of balancing and reconciling.
Demonstrates ability to work in a fast-paced, high volume working environment.
Maintain a clean and safe environment for work space to be compliant with the proper and safe work environment. Considerate of coworkers.
Demonstrates daily H3W leadership behaviors and values.

Nice To Haves

Minimum of one to two years banking or bookkeeping experience or equivalent.

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. Timely is defined as a period of time set as standard daily work which is set as a team goal.
Reviews all request for payment postings, transfers, posting errors and validation of action needed for potential correction, including utilizing various tools such as system programs, official payer and/or banking websites and phone communication as need be.
Works in the Remittance work queues, 7780, 11884, 9956, 152, 9764, to be sure all issues are attended to.
Receives, opens, sorts, prepares large volume of mails for remittance processing.
Processes payments via EPIC.
Processes manual remits and payments through EPIC system, in a productivity of 45 transactions p/hour. Transactions defined as individual manual items or individual electronic files.
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 Hospital Billing (HB) and Professional Billing (PB) to locate unknown payments that cannot be posted. Determines if the payments are postable or need to be refunded.
Works with billing collectors, HB and PB, and other PFS departments to analyze and correct posting issues via the research requests work queues 7780, 9956, 11884 or remits delivered to the Remit Team.
Works the 152-work queue for undistributed funds.
Works closely with Revenue Cycle Business Analyst 2, Team Lead, and Supervisor for any questions, concerns, training needed to post correctly and timely.
Maintains10% days out per goals set for the team.
Verifies payments through set workflows or standard work and prepare for posting. Posts electronically or manually. If manually, uses the Onbase system to scan all paper Explanation of Benefits (EOB) into EPIC.
Contributes to meeting the team goals in addition to individual responsibilities, by attending training for new or current workflows that need to be learned, understanding the HHC vision and working towards the same goals, more automation, more lean workflows, and to be as efficient as possible.
Works with outside vendors, i.e., EPIC, Parallon, Cedar, Arcadia, Nair and Levin, PWC, etc. to analyze and correct system issues, upgrades, processing fixes, or assistance with posting.
Responsible for maintaining and retrieving communication from payer websites to retrieve patient EOBs.
Participates in growth and development of department and maintain good working knowledge of computer systems and functions. Finds ways of bettering the current systems to make for more efficient processing.
Perform other related duties as required