Education: Associates Degree or 2 years formal education or equivalent experience
Medical Terminology required or successful completion of medical terminology course in the probationary period. Failure to complete medical terminology will result in termination of employment.
Work Experience: Two (2) years' work experience in customer service, healthcare or business related field.
Keyboard – Computer Skills:
Advanced keyboard, mouse, computer and Microsoft Windows skills. Must have knowledge and ability to learn, access and utilize 4+ of the computer programs listed below in the probationary, when appropriate for respective department. The applicant will be expected to learn and maintain proficiency in all other applications relative to the position.
10 Key Calculator
Current email system
OTG Application Extender
Other Entry Requirements:
Above average oral and written communication skills needed; ability to converse well on the telephone and in face-to-face situations. Must be warm, friendly and sensitive to the feelings and concerns of others.
Above average data entry and accurate typing skills are required.
Intermediate math skills are required.
The applicant must have a current knowledge of third-party payer reimbursements.
The applicant must be a self-starter and be able to function responsibly with minimal supervision.
ORGANIZATION: Under the general supervision of the Manager, Patient Accounts and the Patient Financial Services coordinator.
Organizationally reports to the Director of Patient Financial Services. May receive input/instructions from on-site Billing and Reimbursement leadership and Patient Financial Services Director.
Must be self-directed, motivated and able to work independently.
Working relations with all ancillary departments and co-workers.
The ability to function responsibly in a minimally supervised situation.
Proven decision making skills required.
Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times.
Is required to meet minimum quality and productivity scores as defined by management.
Keeps current with changing insurance reimbursements and contracts, and shares pertinent information with team members.
Performs timely application of all payments received.
Performs prompt research of all unidentified payments.
Receive and review insurance remittances and/or other documentation for completeness and compliance with financial policies, procedures, and contractual requirements.
Exercise sound judgment regarding situations that may need supervisor/management involvement.
Possess the ability to complete duties within a number of deadlines associated with this position.
Perform prompt research of credit balances, including the initiation of refund monies to the proper payer(s) per Hospital policy.
Prepare daily bank deposits and HBOC Deposit Recap.
Effectively deal with a variety of people/departments on various issues.
Demonstrate understanding of Hospital reimbursement contracts. Determine if payment received is in accordance with the payers' required reimbursement.
Process bad debt remittances received from agencies.
Process and post credit card payments.
Responsible for downloading, processing and posting various electronic remittances.
Perform all cash related duties and posting for all facilities.
Prepare and balance monthly deposit recaps and maintain file retention for all facilities.
Process credit adjustments.
Discern outside contracted providers' payments and post to the appropriate provider.
Interprets and initiates problem solving, prioritizes work activity, determines effective means of dealing with departmental issues.
All other duties as assigned