Payment Poster II Job at University of Rochester (Rochester)

Job Description

Responsible for the accurate and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts. Researches unidentified payments, evaluates offsets for accuracy, balances holding accounts and creates general ledger deposits. Generates and posts refunds.

Job Responsibility

Accurate and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts
Researches unidentified payments
Evaluates offsets for accuracy
Balances holding accounts
Creates general ledger deposits
Generates and posts refunds
Balances and posts electronic file payments from Medicare, Medicaid, Blue Cross, and MVP
Balances check payments, identifies discrepancies, and creates general ledger deposit receipts
Follows up on missed payment deadlines
Communicates with University Finance and Information Systems Division regarding process and problems
Balances and posts commercial, workers compensation, no fault, and miscellaneous insurance payments
Reviews and interprets various remittances to identify and calculate the correct payment amount, patient co-pay, co-insurance, deductible, and interest total
Determines patient responsibility and applies denial codes
Analyzes and codes explanation of benefits and assigns correct rejection total and denial code
Balances and posts patient payments received via live check, online banking, credit card or through the lockbox
Researches and solves unidentified payments received with inadequate documentation for posting
Contacts hospital departments and insurance companies to inquire where payment should be applied
Communicates with Patient Accounts Office (PAO) staff regarding duplicate or erroneous payments and adjustment or indexing issues
Reconciles, validates, and balances individual holding and offset accounts
Verifies and generates refunds to insurance companies if payment received in error
Acts as liaison between PAO and Medicare/Medicaid/Blue Cross/MVP agencies concerning duplicate, insufficient, missing or erroneous payments
Creates and sends notices of adjustments on incorrect payments
Answers inquiries from PAO personnel concerning payments and rejections
Transfers insurance and patient monies between proper accounts and insurance levels
Transfers payments to/from appropriate University/Hospital general ledger accounts
Sorts lockbox batches and correspondence only items
Accounts for all lockbox batches and notifies Supervisor of any problems
Breaks down large remittances into smaller batches and balances to payment total
Reviews and processes correspondence according to department procedures
Scans, pre-works, and indexes batches
Posts self pay refunds, insurance refunds, and accounting office adjustments

Requirements

Associate's degree in Accounting
2 years related cashiering or banking experience
Or equivalent combination of education and experience

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Payment Poster II

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