Overview

CHI Health strives to care for you the way you care for your patients. 

We understand you have personal responsibilities outside of your profession and also care about your well-being. 

With you in mind, we offer the following benefits to support your work/life balance:

Health/Dental/Vision Insurance  Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care Voluntary Protection: Group Accident, Critical Illness, and Identity Theft  Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO)  Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Adoption Assistance Wellness ProgramsFlexible spending accounts

rom primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Responsibilities
Job Summary / Purpose

This job is responsible for payment posting functions including,  entering patient and insurance payments, contractual allowances and other adjustments onto the patient’s account and interpretation of Explanations of Benefits (EOBs)/Electronic Remittance Advice (ERAs) from insurance.  

Work requires an understanding of detailed billing requirements, cash posting processes and government/commercial insurance reimbursement terms, remittance advice details and contractual/other adjustments.  Attention to detail, the ability to accurately and timely troubleshoot/resolve (within position scope) issues that have a potential impact on revenues are also required.

Key Job ResponsibilitiesReviews and posts payments and write-off/adjustments from insurance and patients.  Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary. Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy. Follows write-off approval protocols for non-routine adjustments.Manually posts non-electronic activities to include:  payments, adjustments, and zero payment denials.Completes daily posting log and quarterly cash handling audits and reports findings to Supervisor/Manager. Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority or to escalate following established procedures. Notifies Supervisor/Manager of ongoing issues and concerns as appropriateDocuments all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.  Meets quality assurance and productivity standards for timely and accurate posting of payments in accordance with organizational policies and procedures. Applies current knowledge of detailed billing requirements and cash posting processes. Applies current knowledge of government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details.  Depending on role and practice management training, may be called upon to support other areas in the Revenue Cycle.
Qualifications
Minimum Qualifications

Required Education (for CHI Leadership Job Levels from Supervisor through President)

Does Not Apply

Required Education for Staff Job Levels

Does Not Apply

Required Licensure and Certifications

Does Not Apply

Required Minimum Knowledge, Skills and Abilities

Knowledge of debits and credits, including how to interpret/process electronic remittance advices.Knowledge of medical insurance, payer contract, CPT and ICD codes.Ability to understand and apply government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details.Ability to enter data in accordance with established standards of timeliness, accuracy and productivity.Ability to troubleshoot, understand and/or adapt moderately complex oral and or writteninstructions/guidelines to diverse or dissimilar situations.Ability to maintain confidentiality of medical records, and to use discretion with confidential data and sensitive information.Ability to demonstrate attention to detail and critical thinking skills within the context of the assigned function, with a commitment to accuracy.Ability to effectively prioritize and execute tasks while under pressure.Ability to demonstrate excellent customer service skills, including professional telephone interactions.Ability to read, understand and communicate in English sufficient to perform the duties of the position.Ability to establish and maintain effective working relationships as required by the duties of the position.Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.

PREFERRED Qualifications

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