McPherson Hospital, Inc. ยท 1 month ago
Posting and Reconciliation Specialist
McPherson Hospital, Inc. is seeking a Posting and Reconciliation Specialist who will be responsible for the routine posting and reconciliation of incoming Electronic Remittance Advice and paper checks. The role involves ensuring accurate payment reconciliation and collaborating with internal teams and insurance carriers for timely reporting of payments.
Health CareHealth DiagnosticsNursing and Residential CareRehabilitation
Responsibilities
Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances
Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy
Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments
Assist with credit or negative balances (Medicare, Medicaid, commercial payer, patient credits) as part of monthly maintenance and reconciliation; communicate necessary corrections to Billing and Patient Financial Services teams as appropriate
Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold
Qualification
Required
High School Diploma or Equivalency
Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services
Working knowledge of medical billing, insurance carriers, and payment methodologies
Data entry and working knowledge of computers and various hardware/software (Outlook, Excel, Teams, copier/fax machine, calculator)
Ability to navigate clearinghouse and insurance portal websites
Experience with Electronic Health Record systems
Ability to work in detail-oriented environment with firm deadlines
Must be able to collaborate with internal peers and external contacts
Ability to exercise independent judgement and problem-solving
Completion of HealthStreams education by designated due date
Attends required staff/department/organization's meetings
Demonstrates strong, clear communication skills
Upholds the C.A.R.E. Values of McPherson Center for Health
Exhibits professionalism at all times
Maintains confidentiality as required by HIPPA regulations
Participates in the professional development of self and team members
Must have the ability to work under stress during peak workload periods
Must be able to sit for long periods of time
Must be able to lift 10-15 pounds infrequently
Must be able to read small print documents
Must be able to perform repetitive key strokes/data entry
Benefits
Medical/ Dental/ Vision Insurance
Health Savings Account
Flex Spending Account/Dependent Care Spending Account
403 (b) Retirement Plan- up to 4% employer contribution
Earned Time Off
Extended Illness Bank-Hospital contribution
Life Insurance- Employer Paid
Long-Term Disability/ Short-Term Disability-Employer paid
Voluntary Life & AD&D
Free 24-hour fitness center
Hospital Indemnity
MASA- Medical Transportation Solutions
Company
McPherson Hospital, Inc.
Mission Statement: Superior health care and exceptional service for each person, every time.
Funding
Current Stage
Growth StageRecent News
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