Billing Support Specialist
Children's Hospital Philadelphia - Malvern, PA

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Requirements:
• High School Diploma or equivalent, College Degree preferred.
• Experience working in a Physician Billing Environment and working with personal computers and online applications desirable.
• Excellent attention to detail.
• Strong interpersonal skills and customer service orientation.
• Ability to work independently, meet specific goals and objectives; proven ability to prioritize.
• Ability to handle confidential materials.
• Excellent organizational skills.
• Knowledge of personal computers.
• Flexibility to work overtime as needed/required
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.
Job Description:
The Billing Support Specialist daily reconciles all manual, electronic and electronic fund transfers (EFT) lockbox payments received from the bank and batches the documents appropriately so that manual payments can be posted to the billing system in an efficient manner. Additionally the Billing Support Specialist daily accesses the Epic Billing System preparing spreadsheets for the processing of all electronic payments and EFT(s). Post creation of the Electronic Payment Spreadsheets the Billing Support Specialist interfaces with the CHOP IS Department regarding the accurate and timely processing of all electronic payments and EFT(s). Following the processing/posting of the payments identified/contained on Electronic Reconciliation Spreadsheets the Billing Support Specialist is solely responsible for the accurate audit, review, and reconciliation of all electronic payments to their correlating remittances files. The Billing Support Specialist also maintains Monthly Reconciliation Spreadsheets of payments received and posted, this information is verified daily, and then forwarded monthly to the CHOP Finance Department for accurate accounting of monthly receivables.
1. Receive daily insurance remittance from bank lockbox including copies of payment checks and associated supporting documents. Makes recommendations to management to improve production, quality, and procedure enhancements. Notifies management immediately regarding system anomalies.
• Reconciles and balances against daily deposit amount from bank.
• Sorts all manual payments/rejections and supporting documents by payor type.
• Create manual remittance batches, with payment batch ticket summarizing total payments in each batch.
• Access EPIC Remittance module and secures all electronic remittance requiring daily processing.
• Prepare Electronic Payment Spreadsheet for processing, and forwards via e-mail to PARC Support for processing.
• Access EPIC Remittance module and secures payments that failed to process electronically. Print EOB information for remittance failing to process electronically.
• Create Electronic remittance batches, with payment batch ticket summarizing total payments in each batch.
• Transfer manual and electronic remittance batches to Payment Specialists for posting to billing system.
• Maintain reconciliation spreadsheet showing cash received versus cash posted to the billing system.
• Maintain tracking spreadsheet of all batches sent and received to the Payment Specialists for processing.
2. Receives manual reimbursements from locations other than the Malvern Service Organization and/or live cheque reimbursement received at the Malvern Service Organization.
• Create manual remittance batches, with payment batch ticket summarizing total payments in each batch.
• Maintain reconciliation spreadsheet showing cash received versus cash posted to the billing system
• Maintain tracking spreadsheet of all batches sent and received to the Payment Specialists for processing.
3. Receives paper source documents (i.e., charge encounter forms, and reimbursement batches) from the billing and practice staff for filing on a daily basis.
• Sort documents by type, and then by additional indexing parameters (i.e., date of service, batch control number) for short term on site storage.
• Files documents received by batch number in File Room.
4. Manages on site File Room and based on maximum inventory capacity prepares files for off-site storage.
• Prepares file boxes and bar codes for off-site filing.
• Updates bar code information for utilization of off- site file retrieval
• Interacts with independent vendor for the transfer to and retrieval of files from on-site to off-site storage as required to facilitate billing workload inquiries, and File Room inventory.
5. Maintains Monthly Reconciliation Spreadsheets of all payments reimbursements received and posted, this information is then audited and forwarded to the CHOP Finance Department for the accurate accounting of monthly receivables.
6. Maintains established department objectives regarding quality and production.
• Adheres to the department’s policies and procedures to ensure that all reimbursements are handled accurately and in accordance with Compliance standards.
• Attends Team Meetings.
7. Other duties as assigned.

Children's Hospital Philadelphia - 12 months ago - save job - block
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