Only the job description changed.
| Previous Job Description | Current Job Description | ||||
|---|---|---|---|---|---|
| t | 1 | Job Description: | t | ||
| 2 | The Cash Posting Representative aka Cash Management Assistant is responsible for applying payments t | 1 | The Cash Posting Representative aka Cash Management Assistant is responsible for applying payments t | ||
| > | o patient accounts receivables in both Hospital Billing and Professional Billing modules for UCSF He | > | o patient accounts receivables in both Hospital Billing and Professional Billing modules for UCSF He | ||
| > | alth Patient Financial Services, Medical Group Business Services, Langley Porter Hospital & Clinics, | > | alth Patient Financial Services, Medical Group Business Services, Langley Porter Hospital & Clinics, | ||
| > | Children’s Hospital Oakland, the Community Connect clinic and Community Hospital facilities. Review | > | Children’s Hospital Oakland, the Community Connect clinic and Community Hospital facilities. Review | ||
| > | , analyze EOB/RAs and determine appropriate payment amounts and contractual discount amounts to be p | > | , analyze EOB/RAs and determine appropriate payment amounts and contractual discount amounts to be p | ||
| > | osted to various receivable systems. i.e. insurance payment, patient liability, non-covered and deni | > | osted to various receivable systems. i.e. insurance payment, patient liability, non-covered and deni | ||
| > | ed amounts using appropriate Reason Codes. Perform correction and posting to payment transactions th | > | ed amounts using appropriate Reason Codes. Perform correction and posting to payment transactions th | ||
| > | at have been edited during the electronic ERA posting process or transactions that could not be post | > | at have been edited during the electronic ERA posting process or transactions that could not be post | ||
| > | ed due to missing or bad data provided by the insurance payer. Support posted amounts with supporti | > | ed due to missing or bad data provided by the insurance payer. Support posted amounts with supportin | ||
| > | ng memos when necessary. Conduct follow-up with other internal or external entities including banks, | > | g memos when necessary. Conduct follow-up with other internal or external entities including banks, | ||
| > | other billing agents and insurance companies to determine data corrections that are needed to post | > | other billing agents and insurance companies to determine data corrections that are needed to post t | ||
| > | the edited transactions. Perform daily posting/bank reconciliation for lockbox and EFT transactions | > | he edited transactions. Perform daily posting/bank reconciliation for lockbox and EFT transactions. | ||
| > | . Frequent access to Apex, Wells Fargo CEO Portals, Imaging ApplicationXtender, Merchant Services, | > | Frequent access to Apex, Wells Fargo CEO Portals, Imaging ApplicationXtender, Merchant Services, oth | ||
| > | other Cash Posting Applications and other databases. | > | er Cash Posting Applications and other databases. | ||
| 3 | |||||
| 4 | Qualifications: | ||||
| 5 | Requirements: - High school graduate or GED certificate. - Six months or more working in a Cash Post | ||||
| > | ing environment or remittance processing environment. - One or more years of experience in medical b | ||||
| > | illing. - Must understand Insurance Explanation of Benefits or Remittance Advice terminology. - Abil | ||||
| > | ity to determine correct payment and denial amounts before posting. - Advanced keyboard skills and c | ||||
| > | alculator skills. - Knowledge of computer operation (i.e. typing, Microsoft Word, Excel) and office | ||||
| > | equipment (i.e. fax machine and copy machine). - Solid math and analytical skills and attention to d | ||||
| > | etail. - Strong organizational skills. Ability to work in a changing environment and handle multiple | ||||
| > | tasks efficiently. - Interpersonal, verbal, and written communication skills. - Must be a motivated | ||||
| > | , positive individual with an exceptional work ethic. - Ability to follow directions and written pro | ||||
| > | cedures. - Ability to work independently. - Knowledge of the mandated HIPAA regulations for security | ||||
| > | , PHI, and confidentiality are essential requirements for this position. - Ability to work on-site t | ||||
| > | hree days or more when required at our Emeryville office, located at 6425 Christie Avenue. Preferred | ||||
| > | Qualifications: - Banking or Accounting background. - Knowledge of contracts, insurance billing req | ||||
| > | uirements, UB04 & 1500 claim forms, worker’s compensation, HMOs, PPOs, Medicare, Medi-Cal, and HIPAA | ||||
| > | compliance program regulations. - Knowledge of CPT and ICD-9, ICD-10 Coding. - Solid understanding | ||||
| > | of the billing requirements of each major payor. - Medical terminology experience. - Knowledge of pa | ||||
| > | tient accounting. | ||||