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Accounts Receivable Professional Payment Specialist
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Job Summary The Accounts Receivable Payment Specialist is responsible for obtaining, preparing, posting, reconciling, adjusting accounts and documenting payments. The position will require the ability to problem solve and work closely with Care New England sites and practices from registration to accounting to ensure accurate payment postings. Reconciliation practices and accurate communication and documentation are key elements to this position. Duties and Responsibilities Responsible for posting insurance and patient payments into all Account Receivable systems, posting insurance denials into all Account Receivable systems, appropriately processing insurance and patient refunds in a timely manner. Daily balances all payments entered into the Account Receivable systems. Utilizes balancing procedures to prepare and maintain monthly spreadsheets to provide reporting to Finance Departments. Follows strict guidelines established by CNE when taking contractual adjustments off of gross charges, or writing off a charge or portion of a charge to bad debt. Verifies the accuracy of deposits made by other departments obtained for services. Take appropriate action if deposit is not accurate when applicable. Following established guidelines, utilizes the information system tools to provide an audit trail on each patient account through editing, adding insurance demographics, linking appropriate insurance demographics to charges and etc. Work closely with the Accounting Department to ensure G/L accounts are accurate. Assist with month end reconciliation of G/L entries or deposits when applicable. Work account credits and properly document patient accounts with supporting documentation when needed. Review account overpayments to determine if payment belongs to another account within the CNE system. Make the necessary interfacility transfer and update the appropriate account in the Accounts Receivable system. (The overpayments maybe on the hospital account that needs to be transferred to the professional account or vice versa). Works closely with the collectors when addressing payments that are incorrect, to ensure accurate posting of any patient co-payments or deductibles. Properly handles NSF checks that are returned by the bank, properly updates the patients account and sends appropriate documentation to the patient when applicable. Reviews outstanding refund checks and work with accounting to issue stop payment with bank when necessary. Obtain remits via payer sites, edit, review, verify, prepare and reconcile third-party payments to ensure accurate posting. Identify appropriate action to be taken, i.e. financial class changes and posting of co-pays and deductibles. Reviews and reconciles lock box settlements for accuracy. Researches lock box issues as needed through to resolution, coordinating with the other facility payment specialists. Assemble information as needed by the Revenue Cycle. Performs other related duties as assigned. Requirements High school diploma required. Minimum of six months job related experience or equivalent is required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. #J-18808-Ljbffr
