Job Duties & Responsibilities:

Post revenue transactions including charge, payment, adjustment, denial and refund transactions to the billing team.

• Reconcile posted transactions to batch totals.
• Prepare and reconcile bank deposit.
• Identify and resolve credit balance accounts.

Research and determine the appropriate application of undistributed payments.

• Transfer liability of balances.
• Customer service liaison Between payers and vendors.
• Maintain complete, timely and accurate documentation of all payments.
• Analyze explanation of benefit (EOB) forms, balancing insurance and patient payments.
• Perform adjustments and credits as needed within a defined month-end close goal.

Demonstrate knowledge and understanding of EOBs or electronic remittance advice (ERA).

• Define and understand all aspects and purpose of an EOB/ ERA.
• Run and analyze balancing reports daily to ensure accurate posting.
• Meet inter-department posting goals.
• Meet monthly closing deadlines.
• Maintain confidentiality and compliance with all company posting.

Perform other duties as assigned.

Promote department goals as well as the mission of the hospital.

• Communicate goals to fellow staff members.
• Demonstrate measurable goal achievement.
• Maintain department policies and procedures.
• Include requirements and guidelines from external agencies (i.e., Joint Commission, State of Wisconsin).
• Maintain and/or communicate to appropriate party function backlog at a set time.
• Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
• Demonstrate acceptance and training of student interns in the department, as directed.

Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.

• Involve self in the learning and application of standards relevant to the department.
• Participate in in-services, seminars and other meetings to increase involvement and awareness of regulations.
• Involve self in the education of other disciplines regarding the department's regulations.

Participate in hospital committees, performance improvement team meetings, and team projects, as directed.

• Demonstrate punctuality and preparedness.
• Demonstrate effective communication skills.
• Demonstrate good organizational skills. Contribute in a positive, solution-focused manner.
• Attend marketing department meetings as needed, actively participate in discussions, recognize and contribute to activities leading to improvement.

Participate in the performance improvement program.

• Gain understanding of the performance improvement process.
• Apply the performance improvement model to your department's activities.
• Participate and/or create performance improvement teams that lead to improvement in other hospital areas.
• Educate and involve self in the hospital and department's performance improvement plans.

Conduct self in a professional manner.

• Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
• Communicate with all individuals in a positive and professional manner.
• Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
• Communicate concerns and provide solutions for same.
• Attend outside seminars and/or educational classes to promote professional growth.
• Demonstrate a positive and professional attitude toward parties outside the hospital (provider relations representatives, managed care contractors, visitors, vendors, etc.).
• Comply with the hospital's policies and procedures, including human resources, infection control, and employee health policies and programs.
• Project a professional image by wearing appropriate, professional attire.

Additional Job Description:

Physical/Mental Demands:

• Function with a great deal of autonomy.
• Able to travel by car and/or air and be away from Rogers Memorial Hospital for extended periods of time.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
• Able to plan, control and direct all aspects of employee relations. Tact required to interact effectively with employees and professional staff. Logical thinking and discretion required to make decisions in initiating and implementing policies and procedures and standards.
• Must be able to read and communicate through written, verbal and auditory skills and abilities.
• Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment physical.

Education/Training Requirements:

• High school diploma/ GED required; associate degree preferred.
• Medical terminology, knowledge of insurance and reimbursement procedures required.
• Valid Wisconsin driver license. Must be granted insurable status by Rogers Memorial Hospital insurance policy.
• Experience with reading and understanding explanation of benefits (EOB) forms.
• Must possess strong computer and communication skills.
• Knowledge and understanding of EOBs and how to post payments directly from EOBs.
• Good written and verbal communication.
• Demonstrated proficiency and experience with Microsoft Word and Excel required.
• Ability to set priorities and work in a fast-paced environment.