Cash Posting Representative

The Cash Posting Representative aka Cash Management Assistant is responsible for applying payments to patient accounts receivables in both Hospital Billing and Professional Billing modules for UCSF Health Patient Financial Services, Medical Group Business Services, Langley Porter Hospital & Clinics, 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 posted to various receivable systems. i.e. insurance payment, patient liability, non-covered and denied amounts using appropriate Reason Codes. Perform correction and posting to payment transactions that have been edited during the electronic ERA posting process or transactions that could not be posted due to missing or bad data provided by the insurance payer. Support posted amounts with supporting 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 the edited transactions. Perform daily posting/bank reconciliation for lockbox and EFT transactions. Frequent access to Apex, Wells Fargo CEO Portals, Imaging ApplicationXtender, Merchant Services, other Cash Posting Applications and other databases. The Cash Posting Representative aka Cash Management Assistant is responsible for applying payments to patient accounts receivables in both Hospital Billing and Professional Billing modules for UCSF Health Patient Financial Services, Medical Group Business Services, Langley Porter Hospital & Clinics, 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 posted to various receivable systems. i.e. insurance payment, patient liability, non-covered and denied amounts using appropriate Reason Codes. Perform correction and posting to payment transactions that have been edited during the electronic ERA posting process or transactions that could not be posted due to missing or bad data provided by the insurance payer. Support posted amounts with supporting 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 the edited transactions. Perform daily posting/bank reconciliation for lockbox and EFT transactions. Frequent access to Apex, Wells Fargo CEO Portals, Imaging ApplicationXtender, Merchant Services, other Cash Posting Applications and other databases. Requirements: High school graduate or GED certificate. Six months or more working in a Cash Posting environment or remittance processing environment. One or more years of experience in medical billing. Must understand Insurance Explanation of Benefits or Remittance Advice terminology. Ability to determine correct payment and denial amounts before posting. Advanced keyboard skills and calculator 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 detail. 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 procedures. 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 three 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 requirements, 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 patient accounting. Requirements: High school graduate or GED certificate. Six months or more working in a Cash Posting environment or remittance processing environment. One or more years of experience in medical billing. Must understand Insurance Explanation of Benefits or Remittance Advice terminology. Ability to determine correct payment and denial amounts before posting. Advanced keyboard skills and calculator 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 detail. 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 procedures. 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 three 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 requirements, 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 patient accounting. #J-18808-Ljbffr University of California , San Francisco