Charge Review - Cash Posting Representative

Catholic Health Initiative Tacoma , WA 98402

Posted 3 weeks ago

Position Type: Regular

Scheduled Hours per 2 week Pay Period: 64

Shift: 8:00am

  • 4:30pm

Primary Location: Franciscan Administrative Center

  • Tacoma

  • Broadway

CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.

Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach physical, emotional, and spiritual is essential to healing the whole person. Come join our team!

Job Summary:

This job is responsible for both charge review and cash posting functions for the Franciscan Medical Group (FMG), including the review of patient encounters and corrections in accordance with applicable guidelines. An incumbent will execute various charge review tasks to validate that charges are entered, edited and billed in a timely and efficient manner in order to maximize revenues, and serve as a resource to other staff/departments for complex charge review/entry issues.

Work also includes entering patient and insurance payments, contractual allowances and other adjustments onto the patient's account and interpretation of Explanations of Benefits (EOBs)/Electronic Remittance Advice (ERAs) from insurance.

Work requires an understanding of detailed billing requirements, charge review/cash posting processes and government/commercial insurance reimbursement terms, remittance advice details and contractual/other adjustments. Attention to detail, the ability to accurately and timely troubleshoot/resolve (within position scope) issues that have a potential impact on revenues are also required.

Essential Duties:

Reviews and re-enters corrected encounter data and other clinic-generated source information in accordance with applicable guidelines and quality/production standards for paper-based charges.

Reviews encounters that are in charge review work queues and make corrections as appropriate and in accordance with applicable guidelines for electronically-transmitted charges.

Reviews all patient account charges and enters timely corrections to prevent billing delays.

Conducts appropriate reviews using critical thinking skills to understand how to transfer payments.

Reviews and posts payments and write-off/adjustments from insurance and patients.

Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary.

Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy.

Follows write-off approval protocols for non-routine adjustments.

Completes daily posting log and quarterly cash handling audits and reports findings to Supervisor.

Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority or to escalate following established procedures.

Notifies Supervisor/Manager of ongoing issues and concerns as appropriate.

Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.

Meets quality assurance and productivity standards for timely and accurate posting of charges/payments in accordance with organizational policies and procedures.

Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.

Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc.

Applies current knowledge of detailed billing requirements and charge capture/cash posting processes.

Applies current knowledge of government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details.

Establishes and maintains professional and effective relationships with peers and other stakeholders.

Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues.

Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle.

Performs related duties as required.

Additional Responsibilities:

Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.

Education/Work Experience Requirements

Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.

Graduation from a post-high school program in medical billing or other business-related field is preferred.

Licensure/Certification

None

Additional Information

  • Requisition ID: 2019-R0251954

  • Schedule: Part-time

  • Shift: Day Job

  • Market: CHI-Franciscan Medical Group

About Us

We are excited to share that CHI was named as one of America's Best Employers 2019, by Forbes. Click here to learn more.

Chances are, you're here because you're looking for a career offering greater opportunity, challenge and fulfillment. We're confident you'll find all three at CHI.

As one of the nation's largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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Charge Review - Cash Posting Representative

Catholic Health Initiative