Financial Services Representative 1 - Physician Billing

Job DescriptionLocation: Chicago, ILHospital: RUSH University Medical CenterDepartment: SBO Enterprise ServicesWork Type: Full Time (Total FTE between 0.9 and 1.0)Shift: Shift 1Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)Summary:Responsible for daily payment posting and reconciliation to ensure accurate accounts receivable. The Cash Posting Financial Services Rep I is responsible for reviewing and processing all forms of payments to patient accounts (governmental and non-governmental) in a timely and accurate manner. This position investigates, evaluates and applies all incoming Self-Pay, Governmental, Blue Cross and Commercial payments into our patient accounting system. In this position it is necessary to observe insurance and patient payment trends and reports specific to their supervisor or manager. Actively supports new ideas and technologies that produce a competitive advantage. Must meet all productivity and quality measures along with carrying on a total accurate reconciling and balancing of all forms of payments posted daily. This position will exemplify the Rush mission, vision and values and will act in accordance with Rush policies and procedures Principal Duties and Responsibilities: Principal Duties and Responsibilities: SBO (Single Billing Office = Professional and Hospital Billing Cash Posting).Responsibilities:

Accurately post insurance and patient payments received by mail and lockbox. This would include but is not limited to assigning batches to users via banking application, sorting received mail, agency checks, and separating zero paid EOB’s and rejections. User must ensure that batches created in EPIC have accuracy focused on deposit date, appropriate payment code, payer, allowed amounts and remit codes when applicable. Ensure that all cash activity is properly entered into daily Cash Report for distribution to the Cashiers Office.

Ensure all commercial electronic 835 remittance files sent by our HB or PB clearinghouses are delivered to our internal RUSH FTP server for processing. Users must also work on ensuring all the necessary reconciliation & balancing is intact for all incoming remittance checks tied to each 835 payer file. Using the current RUSH approved banking applications is significant for this task. The E-remit process also entails managing other payers such as Medicare, BCBS, IL Medicaid along with all necessary reconciliation & balancing practices. Daily use of EPIC remittance application such as Create/Load Runs, Process Runs, Accept, and reconcile all daily electronic remittances files with the correct deposit dates and all necessary corrections as needed.

Research unmatched payments and reduce the clearing accounts to ensure payments are transferred to the correct HAR or entity resulting in a reduction of the A/R in a timely manner. Identify payments intended for other entities such as RUMG, RUMC, ROPH, ROPPG or other private physicians. Ensure accurate application of payments to designated clearing accounts is needed. Reprocess insurance payments that may need to be redistributed to the correct destination.

Produce Enterprise & PB/HB Payment Posting reports as needed for processed batches both for lockbox posting, On-Base or other assigned posting task. Update the following daily reports such as: Lockbox Daily reports, Checks and Payment Tech report, Lockbox Totals Only reports. Administer all other non-EPIC related applications such as multiple banking vendor financial applications in addition to EDI, ACH and ERA clearinghouses and websites.

Track lost or misdirected payments by making phone calls to insurance payers, internal RUSH departments or patients. This daily function will also involve investigation and resolution with General Accounting or with other Revenue Cycle departments

Auditing work to determine if payments are being applied accurately and corresponding remittance actions and GL transactions are correct.

Other related duties as assigned.

Other information:Job Requirements:High school diploma or equivalent is necessary.College coursework in accounting, finance or office technologies preferred.Two years of revenue cycle experience with focus on cash posting applications, or four years in an administrative support role or the equivalent combination of education, training, and experience where the required knowledge, skills and abilities have been acquired.Preferred Experience: Knowledge of EPIC application is preferred. Knowledge of revenue cycle fundamentals is required. Must be proficient in Microsoft Excel and Word applications. Strong organizational and team building skills. Analytical and mathematical skills Multi-tasking ability preferred with strong time management skills. Demonstrate resourcefulness while performing day to day job duties along with being able to adapt to changing situations with ease and speed. Familiarity with payer 835/ERA file downloading and overall file transfer protocols.Competencies Must be able to observe insurance and patient payment trends and report specifics to manager. Ability to reconcile payments to a control total and correct variances. Must be able to work independently with a high degree of accuracy.Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.Position Financial Services Representative 1 - Physician BillingLocation US:IL:ChicagoReq ID 5573