Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Payment Posting Specialist provides assistance to teammates to resolve accounts at Wayne UNC Health Care as well as accounts with credit balances according to Hospital policy and regulatory, legal, and compliance guidelines. The Specialist is responsible for knowing and remaining up-to-date with legal and regulatory rules related to credit balance accounts, including NC laws, Medicaid, Medicare, Liability, Worker's Compensation, HMO/PPO and Managed Care regulatory requirements, compliance guidelines and coordination of benefits rules.
Responsibilities:
1. Posts insurance and lockbox payments in Epic.
2. Posts patient payments in Meditech.
3. Updates general ledger with payment info.
4. Posts payments for cafeteria, gift shop, and other ancillary services in general ledger.
5. Works over/underpayment work queues.
6. Resolves payment posting errors and discrepancies.
7. Assists Government and Non-government Specialists by providing guidance for complex billing and reconciliation tasks. Also provides guidance regarding resolving reimbursement issues in accordance with department procedures.
8. May provide resolution to Credit Balances on all account types and all payors:
a. Determines that payment/adjustments are correctly posted.
b. Applies Coordination of Benefits (COB) rule.
c. Reviews guarantor accounts for possible transfer of overpayments.
d. Generates refunds for requests with appropriate documentation.
e. Updates Collection Notes in each account for actions taken.
9. Participates in team meetings, training seminars and in-services to develop job knowledge.
10. Assists in training teammates within Payment Posting as needed.
11. Serves a resource and role model for other teammates in the area.
WAYNE
Other information:
Education
High School graduate or equivalent required, additional coursework in accounting preferred.
Licensure/Certification
CRCR certification from HFMA within one year of hire.
Experience
Minimum of three (3) years or more revenue cycle/business office experience required.
Knowledge, Skills and Abilities
• Strong working knowledge of credit balances, claims processing and accounts receivable processes required.
• Ability to analyze Explanation of Benefits (EOBs) as well as experience with ICD-10 coding and insurance terminology.
• Ability to interpret state and federal regulatory documentation.
• Experience working with electronic billing and A/R systems.
• Demonstrated success in appropriate and timely resolution of credit balance.
• Outstanding telephone communication and customer service skills.
• Ability to read, write and communicate effectively in English.
• Proficient with MS Office (Word, Excel and Outlook) and able to learn new software rapidly.
Valid NC Driver’s License: No
If driving a Wayne UNC Vehicle, must be 21 years old and MVR must be approved by Risk Management.
BO-212
01.8522.BO-212.NON-CLIN
Job Details
Legal Employer: Wayne Health
Entity: Wayne UNC Health Care
Organization Unit: Patient Accounts
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: WAYNE MED
Exempt From Overtime: Exempt: No
