Reconciliation Specialist

Schedule - Shift Regular Full Time - Day Shift Position Summary: Responsible for assisting Patient Accounts leadership in ensuring that daily and monthly department processes are completed to ensure expedient collection of payments at the maximum level of reimbursement allowed for the services provided by Orthopedic ONE physicians. Responsibilities / Accountabilities: Oversee established billing processes related to the practice management system. Balance daily income with the end of day reports out of the practice management system. Review practice management system daily report to confirm correct location, facility, and company fields were chosen for claims with Payment Specialist. Live checks using the electronic deposit machine (EDM). Cash deposits from satellite sites cash outs and ensures deposited at the bank by end of day. Pull daily reports from online payment processor for distribution to Payment Specialists. Manage errors and/or refunds for credit cards. Verify receipt of end of day totals report (co pay log sheets) from off site locations and is saved in an electronic folder and disperse to Payment Specialists. Refund patient and insurance unapplied payments that cannot be reconciled to account. Prepare refund checks weekly to be mailed with refund check and letter from practice regarding the refund patient and insurance is receiving. Ensure accounts are noted appropriately with refund information in the EMR A/R notes. Enter the daily totals on Orthopedic One balancing spreadsheet. Verify on the Orthopedic One spreadsheet that the totals match the practice management system totals. Run daily total from EMR to update accounting spreadsheet. Keep cash log for satellite locations to reconcile cash and check deposits. Takes appropriate steps to resolve any discrepancies. Verify that the credit card settlement statements match what was posted in the practice management system. Complete assigned To Do’s daily, ensuring response to To Do is according to status assigned (1 Normal – Respond within 3 days, 2 Priority – Respond within 2 days, 3 Urgent – Respond within 1 day). Provide daily posting number by Payment Specialist to Supervisor weekly. Month End Process: Verify all deposits have been posted into the practice management system and carry over those not posted to the new monthly spreadsheet. Post collection check and report payment to collection agency. Run unapplied reports for patients and insurance to reconcile accounts. Ensure bank adjustments and insufficient funds notifications are reconciled monthly. Projects: Review reports from Finance for previous EMR payments by location, provider and referring provider. Report error trends to Supervisor for review. Conduct special projects and studies as requested by Director. Customer Service and Communications: Communicate with patients, insurance carriers and other outside entities in a professional manner. Identify solutions and respond professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Use appropriate grammar and demonstrate tact and diplomacy in patient interactions, by phone and in person. Diffuse negative situations with patients and maintain a pleasant and professional tone during stressful circumstances and heavy workload. Communicate with staff members in a professional, pleasant manner; share information relevant to work, no gossiping or disparaging remarks, accept work without complaint or provide reasons why assignment is unmanageable, ask and answer questions related to improving department performance. Teamwork: Work cooperatively with coworkers, providers, and management. Share knowledge and insights with co-workers in a constructive manner. Willingly provide coverage to department, staying beyond scheduled ending time when clinic schedule demands it, volunteer to cover time off or unexpected absences, maintain workflow in department without direct supervision. Address conflicts with person directly before involving manager or uninvolved peers. Consider others with regard to taking breaks or meal periods, use of computer and telephone, and noise in department. Policies and Procedures: Know and comply with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents. Provide assistance and support to leadership in implementing policies and procedures as necessary. Actively participate in training, and conduct day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs. Education, Experience, and Certification/Licensure Required: The applicant must have a minimum of five years experience working in a business office setting, preferably in healthcare. Experience in the payment posting process and EMR system of Orthopedic One strongly preferred. Knowledge, Skills, and Abilities: Must be experienced in Microsoft Office products including Word and Excel. Must be able to create/set up new spreadsheets using formulas, pivot tables, etc. Knowledge of basic accounting principles used in balancing of spreadsheets. Able to plan, organize and prioritize assignments and follow through on assignments and job duties to completion without direct supervision. Able to project a professional, tactful and diplomatic image to patients and employees. Effective interpersonal and communication skills. Able to maintain patient confidentiality and observe HIPAA guidelines. #J-18808-Ljbffr