The cash/denial processing representative processes all checks, vouchers and credit card receipts received by the Business Office.
The cash/denial processing representative posts adjustments and denial codes to accounts as needed per explanation of benefits (EOB) or any other type of acceptable patient information and maintains and monitors the UTL (unable to locate) account within established levels. This position balances the daily patient receipts and records and processes all payments and related documentation by utilizing the HBO STAR Patient Financial system and Escort.
The cash/denial processing representative process all patient cash, adjustments and denials and works within the approved department guidelines to accomplish the recording of all related patient information.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
QUALIFICATIONS:
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EDUCATION: High school diploma or equivalent required.
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EXPERIENCE:1 year of experience in billing, banking or other related cash management fields required. Must possess good computer skills and a working knowledge of third-party insurance preferred. Microsoft Excel and HBOC McKesson experience preferred.
PERFORMANCE EXPECTATIONS:
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
WORK ENVIRONMENT:
Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances and potential injury. Position requires sitting at a desk/computer a majority of the day and frequent walking, standing and reaching. This position also requires the ability to occasionally lift up to 10 pounds. Works with equipment such as a computer terminal, fax machine, printer and copier.
The essential functions for this position are listed on the Assessment and Evaluation Tool.
REPORTING RELATIONSHIP:
This position reports to the Supervisor – Customer Service and Vendor Management and the Manager – Customer Service and Vendor Management.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
