Patient Access Representative - Insurance Claim Posting

North Carolina Specialty Hospital (NCSH) is a private, physician-owned medical center that opened its doors in 1926. Its commitment to growth and continuous improvement has helped the hospital maintain a high ranking in both quality measures and patient satisfaction. North Carolina Specialty Hospital offers surgical specialties in orthopedics, ophthalmology, ear, nose, and throat, as well as sports medicine, oral, plastic, podiatry, general surgery, interventional radiology, pain management, reconstructive surgery, and more.

Why join North Carolina Specialty Hospital?

• Award Winning Hospital for Special Surgery
• 5 Star CMS rated facility for patient experience
• Positive Work culture
• Career growth opportunities
• Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance
• Telemedicine/You have access to Physicians 24/7/365 through MDLIVE
• Paid Time Off
• 401k Employer Match
• Tuition Assistance

Essential Job Functions

• Obtains the daily EFT/bank Report to identify the remits that need to be posted for the day.
• Downloads and/or prints all the EFT remits received and prepares them for processing into their assigned batches. Makes sure to identify and correct any posting rejections or errors.
• Processes all payments that have entered our bank within (2) working days.
• Ensures a high degree of accuracy in assigning payments and adjustments to the correct accounts and assigns the correct dollar amounts to each remaining open category.
• Ensures all voucher deductions are posted to the correct accounts and documents all accounts that are pending posting because of a voucher deduction.
• Prints Credit Card Auth Net Report and posts all credit card payments and balance the daily payment batch.
• Post all Self Pay payments and all EOBs received via mail identifying any batch errors or rejections to ensure accuracy.
• Complete 3 daily reports that track receivables
• Uploads the daily Patient Statements Batch to the RevSpring portal
• Records all Bad Debt adjustment secondary to Medicare for year end Cost Reporting
• Box up processed EOB and Batch work for storage
• Opens and disperses all mail, prepares checks to be deposited for BOM
• Compiles all EOBS that need to be sent to Hospitalist
• Assists Manager with Month End reports and completes projects assigned.
• Adheres to all Hospital Policies and Procedures, specifically Guidelines for Appropriate Conduct, Corporate Compliance, Diversity, and Confidentiality.
• Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment.
• Adheres to Confidentiality Policy.
• Maintains positive working relationships and fosters cooperative work environment.
• Adheres to the hospital's "Guidelines for Appropriate Conduct" in the HR Manual.
• Displays honesty and mutual respect when communicating with peers and other departments.
• Follows through on problems that may compromise effective job performance by using appropriate chain of command.