Reimbursement Coordinator
Full Time
Arlington Heights, IL 60005
Posted
Job description
Shift: Full time, Days
** Previous cash posting experience a plus*
Reporting to the Manager of Billing and Support Services, controls and coordinates the application of cash and any other financial transactions to patients' accounts and the general ledger. Administers balance sheets and controls related to the financial transactions. Provides the control and archiving function for all Patient Financial Services (PFS) reports. Adjusts patient interaction and/or treatment to match each patient’s age-specific developmental, educational or other related needs
1. Ensures timely and accurate cash application and other transaction application to patients' accounts and the general ledger. Retrieves electronic payments posted on the hospital network; manages the automated processing of these transactions to accounts receivable. Monitors accuracy of transmission; balances transactions posted to multiple system generated reports; ensures that all cash received is accounted for and that all other financial transactions received for posting are applied and accounted for.
2. Maintains, analyzes, and distributes management reports for financial operations including but not limited to Trend Reports, Cash Ledgers, and SMS Reports; utilizes system generated reports and other reports to gather account data; keys data into spreadsheet and balances data as appropriate; distributes reports to management.
3. Organizes and files payment related correspondence, i.e. remittance advice, vouchers, explanations of benefits; maintains all payment information in files in PFS Imaging System and hardcopy files of Medicare/Illinois Department of Public Aid (IDPA) remittance advices according to (HCFA) requirements.
4. Monitors and resolves misapplied transactions. Monitors and resolves any errors evidenced by system generated "error" reports including but not limited to (TCE) reports. Reviews daily cash batches posted and identifies and resolves misapplied payments; reviews system generated error reports and TCE’s.
5. Utilizes PC based and manual reports to ensure that all incoming financial transactions have been processed and that total dollars applied balance to the total amounts received. Balances cash applied against cash received by analyzing reports and identifying discrepancies in balancing; works with bank/Information Management and Technology (IMT)/Accounting to resolve discrepancies. Balances contractual allowances applied, refunds processed, or any other debit or credit applied to patient accounting.
6. Responsible for resolving unlocated and unapplied cash; reviews explanation of benefits from insurance carriers; identifies the appropriate account to credit and transfers the payment; contacts the payer source to request assistance in identifying account as needed.
7. Updates, monitors and analyzes trend reports, productivity reports, SMS reports, system reports and others as required. Develops plans, programs and practices to improve the efficiency, accuracy, and quality of the work unit and presents recommendations to supervisor. Reviews electronic cash posting reports and unapplied cash accounts daily to monitor and analyze trends in cash application processes and identify potential bank errors. Offers suggestions and implements process improvements in the cash application process. Develops graphics to educate the PFS staff on the status of accounts receivable and cash collected.
8. Maintains integrity of data on all systems utilized
9. Manages special projects or acts as team leader upon request. May be appointed the lead person in the manager's absence to ensure smooth workflow. Identifies necessity to escalate to the Director if there is an issue beyond scope or authority. Represents department at internal meetings and in forums outside of the hospital.
10. Adheres to all Northwest Community Hospital standards, policies, and procedures.
1. Ensures timely and accurate cash application and other transaction application to patients' accounts and the general ledger. Retrieves electronic payments posted on the hospital network; manages the automated processing of these transactions to accounts receivable. Monitors accuracy of transmission; balances transactions posted to multiple system generated reports; ensures that all cash received is accounted for and that all other financial transactions received for posting are applied and accounted for.
2. Maintains, analyzes, and distributes management reports for financial operations including but not limited to Trend Reports, Cash Ledgers, and SMS Reports; utilizes system generated reports and other reports to gather account data; keys data into spreadsheet and balances data as appropriate; distributes reports to management.
3. Organizes and files payment related correspondence, i.e. remittance advice, vouchers, explanations of benefits; maintains all payment information in files in PFS Imaging System and hardcopy files of Medicare/Illinois Department of Public Aid (IDPA) remittance advices according to (HCFA) requirements.
4. Monitors and resolves misapplied transactions. Monitors and resolves any errors evidenced by system generated "error" reports including but not limited to (TCE) reports. Reviews daily cash batches posted and identifies and resolves misapplied payments; reviews system generated error reports and TCE’s.
5. Utilizes PC based and manual reports to ensure that all incoming financial transactions have been processed and that total dollars applied balance to the total amounts received. Balances cash applied against cash received by analyzing reports and identifying discrepancies in balancing; works with bank/Information Management and Technology (IMT)/Accounting to resolve discrepancies. Balances contractual allowances applied, refunds processed, or any other debit or credit applied to patient accounting.
6. Responsible for resolving unlocated and unapplied cash; reviews explanation of benefits from insurance carriers; identifies the appropriate account to credit and transfers the payment; contacts the payer source to request assistance in identifying account as needed.
7. Updates, monitors and analyzes trend reports, productivity reports, SMS reports, system reports and others as required. Develops plans, programs and practices to improve the efficiency, accuracy, and quality of the work unit and presents recommendations to supervisor. Reviews electronic cash posting reports and unapplied cash accounts daily to monitor and analyze trends in cash application processes and identify potential bank errors. Offers suggestions and implements process improvements in the cash application process. Develops graphics to educate the PFS staff on the status of accounts receivable and cash collected.
8. Maintains integrity of data on all systems utilized
9. Manages special projects or acts as team leader upon request. May be appointed the lead person in the manager's absence to ensure smooth workflow. Identifies necessity to escalate to the Director if there is an issue beyond scope or authority. Represents department at internal meetings and in forums outside of the hospital.
10. Adheres to all Northwest Community Hospital standards, policies, and procedures.
#northwest
Qualifications
1. High school diploma required. Associates Degree in related field preferred.
2. Requires a minimum of one year accounting, reimbursement, or finance experience.
3. Proficient in the use of a personal computer and spreadsheet software.
4. Excellent oral communication skills are necessary.
5. The mathematical skills necessary to balance reports and resolve discrepancies.
6. The analytical skills necessary to identify opportunities for improvement, utilizing reports, observations or feedback from others.
7. Service oriented demeanor a must with the ability to effectively communicate and interact daily with internal customers, bank representatives, etc.
8. The ability to multi-task.
9. The ability to effectively manage workflow through automated processes.
PHYSICAL REQUIREMENTS:
10. Requires very little physical effort. Rarely required to walk or stand for prolonged periods. May require occasional lifting or moving light weight material, or rarely lifting or moving average weight material.
2. The flow of work and character of duties involves normal mental and visual attention.
WORKING CONDITIONS:
1. Typical office working conditions.
About Us
Serving Chicago's northwest suburbs since 1959, we are an independent, not-for-profit healthcare system dedicated to providing outstanding care in the communities we call home. Our comprehensive, patient-centered system of care has dozens of locations throughout the area.
Our award-winning care has been recognized on a national level. Some of our top awards include:
Annually, we treat an average of 20,000 inpatients and provide:
Over the years, we have continued to grow to meet the area's changing needs. Today, we're a world-class healthcare provider that combines compassionate care with a healing environment, cutting-edge clinical expertise and state-of-the-art facilities, including:
1. High school diploma required. Associates Degree in related field preferred.
2. Requires a minimum of one year accounting, reimbursement, or finance experience.
3. Proficient in the use of a personal computer and spreadsheet software.
4. Excellent oral communication skills are necessary.
5. The mathematical skills necessary to balance reports and resolve discrepancies.
6. The analytical skills necessary to identify opportunities for improvement, utilizing reports, observations or feedback from others.
7. Service oriented demeanor a must with the ability to effectively communicate and interact daily with internal customers, bank representatives, etc.
8. The ability to multi-task.
9. The ability to effectively manage workflow through automated processes.
PHYSICAL REQUIREMENTS:
10. Requires very little physical effort. Rarely required to walk or stand for prolonged periods. May require occasional lifting or moving light weight material, or rarely lifting or moving average weight material.
2. The flow of work and character of duties involves normal mental and visual attention.
WORKING CONDITIONS:
1. Typical office working conditions.
About Us
Serving Chicago's northwest suburbs since 1959, we are an independent, not-for-profit healthcare system dedicated to providing outstanding care in the communities we call home. Our comprehensive, patient-centered system of care has dozens of locations throughout the area.
Our award-winning care has been recognized on a national level. Some of our top awards include:
- America's 250 Best Hospitals™ Award recipient for three years in a row from Healthgrades®
- Magnet® designation for nursing excellence, received consecutively since 2006
- The Joint Commission's Gold Seal of Approval and Comprehensive Stroke Center designation
- 4,000 employees
- 1,200 physicians on staff
- 200 primary are and specialty physicians
Annually, we treat an average of 20,000 inpatients and provide:
- 350,000 outpatient visits
- 76,000 emergency department visits
- 38,000 home care visits
- 2,700 newborn deliveries
Over the years, we have continued to grow to meet the area's changing needs. Today, we're a world-class healthcare provider that combines compassionate care with a healing environment, cutting-edge clinical expertise and state-of-the-art facilities, including:
- A 509-bed hospital, including the South Pavilion with 200 private rooms
- The William J. and Marian H. Busse Center for Specialty Medicine, an eight-floor facility housing physician offices, medical specialty services and advanced diagnostic technology
- A Level III NICU, Level II Trauma Center and a dedicated pediatric emergency department
- Five Immediate Care Centers, in Buffalo Grove, Kildeer, Mount Prospect, Palatine and Schaumburg
- 23 physician offices in Arlington Heights, Buffalo Grove, Kildeer, Mount Prospect, Palatine, Rolling Meadows and Schaumburg
- Nine outpatient imaging locations that provide advanc emergency department
- Five Immediate Care Centers, in Buffalo Grove, Kildeer, Mount Prospect, Palatine and Schaumburg
- 23 physician offices in Arlington Heights, Buffalo Grove, Kildeer, Mount Prospect, Palatine, Rolling Meadows and Schaumburg
- Nine outpatient imaging locations that provide advanced imaging technology, including MRI, CT, ultrasound, X-ray and 3D mammography
- 13 clinical laboratory sites in seven suburbs and at the hospital
- 33-bed acute inpatient rehabilitation unit and seven outpatient rehabilitation centers
- The Wellness Center, a premier health and fitness center and spa on the NCH campus
- A full-service, retail pharmacy on the hospital campus
Primary Location: United States-Illinois-Arlington Heights
Work Locations: 3040 Salt Creek - Shared Svcs 60005
Job: Office/Clerical
Shift: Day Job
Employee Status: Regular
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