Remittance Process Analyst 1 / PA Remit Processing
Clinical Laboratory Partners
Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryUnder 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 andor checks and paper files andor 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 balancingPosition ResponsibilitiesKey Areas of ResponsibilityCompletes daily offsets to patient accounts in EPIC Patient Accounts Receivable AR system Balances the daily postings to the offsets Posts outstanding remittancesexplanation 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 andor banking websites and phone communication as need be Works in the Remittance work queues to be sure all issues are attended toReceives 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 transactions phour Transactions defined as individual manual items or individual electronic filesReviews and analyzes accounts to assure paymentsadjustments 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 refundedWorks with billing collectors HB and PB and other PFS departments to analyze and correct posting issues via the research requests work queues or remits delivered to the Remit Team Works the work queue for undistributed funds Works closely with Revenue Cycle Business Analyst Team Lead and Supervisor for any questions concerns training needed to post correctly and timely Maintains days out per goals set for the teamVerifies 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 EPICContributes 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 possibleWorks with outside vendors ie EPIC Parallon Cedar Arcadia Nair and Levin PWC etc to analyze and correct system issues upgrades processing fixes or assistance with postingResponsible for maintaining and retrieving communication from payer websites to retrieve patient EOBsParticipates 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 processingPerform other related duties as requiredWorking RelationshipsThis Job Reports To Job Title Supervisor Revenue Cycle Remittance Processing Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryUnder 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 andor checks and paper files andor 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 balancingPosition ResponsibilitiesKey Areas of ResponsibilityCompletes daily offsets to patient accounts in EPIC Patient Accounts Receivable AR system Balances the daily postings to the offsets Posts outstanding remittancesexplanation 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 andor banking websites and phone communication as need be Works in the Remittance work queues to be sure all issues are attended toReceives 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 transactions phour Transactions defined as individual manual items or individual electronic filesReviews and analyzes accounts to assure paymentsadjustments 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 refundedWorks with billing collectors HB and PB and other PFS departments to analyze and correct posting issues via the research requests work queues or remits delivered to the Remit Team Works the work queue for undistributed funds Works closely with Revenue Cycle Business Analyst Team Lead and Supervisor for any questions concerns training needed to post correctly and timely Maintains days out per goals set for the teamVerifies 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 EPICContributes 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 possibleWorks with outside vendors ie EPIC Parallon Cedar Arcadia Nair and Levin PWC etc to analyze and correct system issues upgrades processing fixes or assistance with postingResponsible for maintaining and retrieving communication from payer websites to retrieve patient EOBsParticipates 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 processingPerform other related duties as requiredWorking RelationshipsThis Job Reports To Job Title Supervisor Revenue Cycle Remittance Processing Requirements and SpecificationsEducationmiddot Minimum High School graduate or equivalent requiredmiddot Preferred Some collegeExperiencemiddot Minimumo Minimum of one to two yearsrsquo experience of working in healthcare environment with officehospital and billingposting responsibility preferredo Working with bank reconciliation or accounting transactions within an officeo Understanding posting of cash receipts reconciliation of daily cash as well as and understanding of debitscreditsmiddot Preferred Minimum of one to two years banking or bookkeeping experience or equivalent Knowledge Skills and Ability Requirements middot Basic computer skills and typing skills Knowledgeable on Microsoft excelmiddot Understanding insurance remittances explanation of benefits and insurance requirementsmiddot Understanding insurance terminology middot Understanding hospital billing middot Ability to communicate effectively both oral and written with internalexternal customerspatientsmiddot Extensive knowledge of Microsoft work and excelmiddot Complete yearly healthstream requirements timely includes any additional learningtraining assignedmiddot Maintains required level of technical andor professional learning and updates to systems laws compliance issues etc middot Basic communication and interpersonal skillsmiddot Good math skills and understanding of balancing and reconcilingmiddot Demonstrates ability to work in a fast paced high volume working environmentmiddot Maintain a clean and safe environment for work space to be compliant with the proper and safe work environment Considerate of coworkers middot Demonstrates daily HW leadership behaviors and valuesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and SpecificationsEducationmiddot Minimum High School graduate or equivalent requiredmiddot Preferred Some collegeExperiencemiddot Minimumo Minimum of one to two yearsrsquo experience of working in healthcare environment with officehospital and billingposting responsibility preferredo Working with bank reconciliation or accounting transactions within an officeo Understanding posting of cash receipts reconciliation of daily cash as well as and understanding of debitscreditsmiddot Preferred Minimum of one to two years banking or bookkeeping experience or equivalent Knowledge Skills and Ability Requirements middot Basic computer skills and typing skills Knowledgeable on Microsoft excelmiddot Understanding insurance remittances explanation of benefits and insurance requirementsmiddot Understanding insurance terminology middot Understanding hospital billing middot Ability to communicate effectively both oral and written with internalexternal customerspatientsmiddot Extensive knowledge of Microsoft work and excelmiddot Complete yearly healthstream requirements timely includes any additional learningtraining assignedmiddot Maintains required level of technical andor professional learning and updates to systems laws compliance issues etc middot Basic communication and interpersonal skillsmiddot Good math skills and understanding of balancing and reconcilingmiddot Demonstrates ability to work in a fast paced high volume working environmentmiddot Maintain a clean and safe environment for work space to be compliant with the proper and safe work environment Considerate of coworkers middot Demonstrates daily HW leadership behaviors and valuesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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