Remittance Representative
: Overview:
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Remittance Representative is responsible for daily remit processing, reconciliation, and analysis of payment activity between the bank lockbox, daily deposits, EFT/ACH and payment application system. Acts as a liaison between the department, financial reporting team, front end Registration, Patient Financial Services, and other departments regarding cash/payment related inquiries. Ensures all workflow items are completed within the set turnaround time within quality expectations. Act as liaison between Clearinghouse, payer & the Cash team. Must also maintain the Cashier Window for the purpose of receiving payments and internal cash transactions. Ensure Cash Management is processed daily in a timely and accurate manner. Duties performed are at multiple sites within the Hackensack Meridian Health (HMH) Network. Responsibilities: A day in the life of a Remittance Representative with Hackensack Meridian Health includes:- Reconciles bank deposits with remittance and payment files. Monitors the appropriate application (Epic Remittance Module & Invision) and creates reports to ensure that assigned electronic remits are accurately posted. Ensures incoming payments are processed correctly and timely. Follow up if the file is missing or the corresponding cash is not received.
- Communicate with Payer, Clearinghouse for missing remittance. Open tickets as requested by HDX/Clearing house or Payer. Enroll with payer/HDX as payer is available for 835 or Enroll with Bank to receive EFT instead of hard copy check if applicable.
- Ensures daily core functions are completed and balanced accurately including posting of lockbox batches, remittance advice, and credit card exceptions. Ensures unmatched cash is current and any backlog is resolved timely. May also include contacting the patient, insurance company, payee, bank, front line staff, or other entity to determine where the payment belongs or process refund for incorrect or unidentified payment received.
- Tracks and trends exceptions to core business functions (ERA exceptions, reconciliation items, TCE, etc.) Reviews errors on electronic remittance advice files and escalates to appropriate entities. Communicates with the payer to resolve undistributed balance.
- Prepares Cash reports for management & Finance.
- Provides back up to Window Cashier. Disburses change funds to the cafeteria and other areas of the hospital, accepts and deposits cash from various departments, and prepares and distributes daily cash reports to management. Responsible for general ledger journal entries for Finance.
- Acts as a liaison for the department between Finance, Access, Patient Financial Services, the bank, internal IT, Electronic Data Interchange, agencies, and management on remittance related queries. Plays a key role in month end closing by clearing assigned tasks, assisting with additional research and/or posting as needed.
- Oversees all aspects of Cash Management including identifying issues and recommending process enhancements for quality improvement. Assists in training and education of support staff.
- Reviews remittance advice or explanation of benefits received from the lockbox correspondence or agencies and enters appropriate action in the system.
- Processes and audits credit card payment and charge back.
- Other duties and/or projects as assigned. 12. Adheres to HMH Organizational competencies and standards of behavior.
- Associate's degree or two years college degree or equivalent experience.
- Minimum of 2+ years of experience in hospital billing, remittance processing, other billing systems, and/or a customer service oriented position.
- Good accounting skills with emphasis on reconciliation.
- Excellent data entry skills.
- Good analytical skills.
- Knowledge of Microsoft Office (Excel, Word, Outlook) to work effectively in an office environment.
- Excellent communication and interpersonal skills.
- Must be able to quickly and accurately count money and checks.
- Strong knowledge of banking systems.
- EPIC experience/knowledge.
- Proficient in Windows applications and hospital billing systems.
- Must successfully pass completion of EPIC assessment within 30 days after Network access granted.
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