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Remittance Processor

Category

Position Control #

# 09-5027-144 & 09-5027273

Status

Location(s)

Report To: Revenue Cycle Administrator
ADA: Full time position. Ability to sit and/or stand periodically during work day and lift up to 30 lbs., when necessary.  Computer data entry a portion of job duty.
OSHA: Must adhere to universal precautions, to include blood borne pathogens protection, at all times.
Primary Duties:

  • Post and balance all Medicaid remittance payments and adjustments on a weekly basis. Summarize payments posted or miscellaneous receipts on remittance advice as received.
  • Post and balance Medicare remittance payments and adjustments, daily.
  • Post and balance all private pay payments received at corporate office, daily.
  • Post and balance bi-weekly payroll deductions against employee account balances.
  • Post and balance all other third-party/insurance payments and adjustments, daily.
  • Post Pay Patient SFS Adjustments after Medicare and other third Party Payments are applied.
  • Copy insurance EOB’s for secondary payers and denials requiring additional information and summit daily to biller. Maintain original third-party EOB’s by date.
  • Document reason for non-posting of payments received return to accounting for G/L coding & follow-up (i.e., bad debt recovery, payment not ours, etc.).
  • Research and prepare refund requests for overpayments on all accounts that incur a credit balance at the time of payment posting. Monthly work Credit Balance Report.

Secondary Duties:

  • Updates system notes for payments received on balances at the collection agency, forward to collector to report these payments to the Collection Agency.
  • Assists in answering patient and employee phone inquiries.
  • Log Medicare bad debt recoveries as received for inclusion in the Cost Report.

Minimum Qualifications:

  • High School Diploma
  • One (1) year experience handling medical claims processing

Skills and Abilities:

  • Use of 10-key calculator and CRT accurately by touch.
  • Good telephone etiquette and organizational skills.
  • Must be computer literate and have the aptitude to learn new programs as changes occur.

This job description is not intended to be all-inclusive, and the employee will also perform other reasonable related business duties as assigned by supervisor.

  • This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment
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