Accesses insurance company registers via ins. company websites. Accesses direct deposits (EFT's) via on-line
banking software in order to verify payments deposited prior to posting.

Prepares the payment registers to be posted by verifying whether payments are from a contracted payor or a
non-contracted payor by the review of payor contracts:

• If from a contracted payor, posts payments and allowance / discounts to the patient account.
• Allowances / Discounts are calculated based on the contract and / or the Explanation of Benefits.
• Payments from non-contracted payors are posted to the patient account. (Even though most EOBs show a discount, if they are not a contracted payor, NMMC does not discount the patient's account.)

Posting and reconciliation of payments and discounts received in an 835 electronic format. Requires use of 3rd
party software for the posting to the patient account.

Reconciles daily and monthly cash posted in the system to the cash deposited in the bank, making any
corrections to patient accounts as necessary.

Assists Accounting dept. employees with the balancing of patient account payment posting to the bank statement.
Reconciliation of patient payments scanned to Document Imaging to the daily cash posting.

Posting is completed on a daily basis in a timely and accurate manner to enhance patient satisfaction and
accounts receivable control.

Works with affiliate business services employees in reconciling intra-hospital deposits to insure that the patient
account is correctly stated on the affiliates AR.

Works with credit card companies and banking institutions regarding payments received and deposited.

Maintains the unapplied cash account and keeps the balance at a minimum amount.

Scans posting batches in document imaging to have complete record keeping of all payments posted.

Entry of daily amounts posted and reconciled for the Administrative Daily Cash Report.

Maintains logs of receipts for the control of cash.

Requirements:
Must have high school diploma or equivalent. Prefer college Associates degree.

It is desirable that the candidate have at least 2 years' experience in the following:

• Ability to communicate effectively with other Business Services employees and patients regarding the details of the different payment methods and associated allowances.
• Must have knowledge of Medicare/Medicaid, Blue Cross, United Healthcare and Healthlink contracts, payment methods, rules and regulations, along with the billing and payment forms associated with all insurances.
• Must have data entry and retrieval skills and other clerical skills.
• Must have knowledge of Microsoft EXCEL, internet and various 3rd party payor websites.