100,000's of Government Jobs

Search Government Jobs

Job Field: Office Jobs
Location: Texas

JOB SUMMARY:

---

Reconciliation Analyst
Department: Patient Accounting (853001)
Schedule: FT
Shift: Day
Hours: 8a - 4:30p
Job Details:
Description:Under the direction of the Patient Accounting Systems Analyst (Billing System), function as a TCE/Reconciliation Analyst for Patient Accounting and the Recirculation Error File. The primary responsibilities include review/research and correction of all postings which effect patient account balances but have rejected and fall to the Transaction Circulation Error (TCE) report; maintaining and reconciling the Recirculation Error File (REF); maintaining unidentified cash accounts and State Escheatment logs; manual posting and tracking cash items that will effect reconciliation; overall cash reconciliation.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
Typical Duties:
-Assist in reconciling Medicare and Medicaid remits by providing Pass Thru and Settlement amount in a timely fashion.
-Assists Systems Analyst with other reconciliation projects and assignments as identified.
-Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others.
-Identifies ways to improve work processes and customer satisfaction. Make recommendations to Analyst, Supervisor, and Director. Implements and monitors results as appropriate in support of the overall goals of the department and JPS Health Network.
-Maintain Medicare remit logs to provide accurate totals to the Reimbursement Department regarding allowed charges, days, etc.
-Maintains a positive working relationship with contract to include personnel, other JPS Health Network staff and management, to promote teamwork, cooperation, and a positive service excellence environment for the JPS Health Network. Serves as a positive role model for staff and patients while demonstrating strong interpersonal skills. Accepts constructive criticism and integrates suggestions in effective ways.
-Perform other duties as assigned.
-Process claims and/or Remittance Advice/EOB for insurance carriers, attaching all required documentation to ensure claims are filed against and adjustments are made to all appropriate payors.
-Reconcile REF report to insure corrections are made to enable cash and/or adjustment to post to patient accounts.
-Reconcile Medicare/Medicaid remittance advice to patient accounts.
-Reconciles patient accounts that are listed on the TCE report to ensure that the correct payments are made for the services rendered to the patient of JPS Health Network and appropriate adjustments posted to their accounts.
-Research all payments posted to assigned unidentified cash accounts while maintaining Escheatment log for monies to be allocated/paid to the State. In addition, maintain a basic understanding of escheatment laws and regulations.
-Research and respond to incoming patient inquiry by telephone and/or mail within 48 hours of requests.
-Research, identify, and properly reapply cash from unidentified cash account to patient account or escheatment account.
-Tracks productivity and provides reports on a weekly basis as required by the Analyst, Supervisor, and Director.
-Updates accounts with information gathered to ensure patient accounts are complete and correct.

Qualifications: High School diploma or equivalent. PC knowledge preferred. Verbal and written communication of English language required. (Note: bilingual in Spanish preferred). Eighteen months customer, hospital, physician office and/or collection agency business office experience required. Basic Siemens TCE/REF experience preferred. Must be able to type proficiently. Proficient with computer software and/or hardware applications. AAHAM membership and participation encourage.