Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Remittance Representative, PB is responsible for daily operations, management, financial and efficient performance of Cash Posting and Reconciliation department. Directly manages the payment, adjustment, denial posting and processing of credit balances functions, assuring timely posting of transactions to the patients' accounts to ensure lowest possible days in accounts receivable in a cost effective manner and timely billing of NRP (next responsible party). Supports the Revenue Cycle team to achieve the established KPI & metrics for the revenue cycle. Creates and utilizes reports that are used as tools for trending and analysis for various areas of the Revenue Cycle. Serve as subject matter expert in EDI 835 transactions, oversee all activities related to implementation, change and revision of 835 transactions. This position is responsible for identifying for management, issues and recommendations needed to increase cash flow and prevent accounts receivable from aging, prevent denials, by which accounts receivable would be reduced and effectively managed. Acts as a change agent - capable of guiding teams in initiating various change management initiatives. Duties performed are at multiple sites within the Hackensack Meridian Health (HMH) Network.

Responsibilities

A day in the life of a Remittance Representative, PB at Hackensack Meridian Health includes:

• Post and reconcile bank deposits with remittance and payment files. Monitors the appropriate application (EPIC Remittance Module & legacy system) and creates reports to ensure that assigned electronic remits are accurately posted. Ensures incoming payments are processed correctly and timely.

• Communicate with Payer, Clearinghouse for missing remittance. Open tickets as requested by the Clearing house or Payer.

• Ensures daily core functions are completed and balanced accurately including posting of lockbox batches, remittance advice, and credit card exceptions. Ensures unmatched cash is current and any backlog is resolved timely. May also include contacting the patient, insurance company, payee, bank, front line staff, or other entity to determine where the payment belongs or process refund for incorrect or unidentified/undistributed payment received. Resolve clearing accounts monthly to zero balance.

• Tracks and trends exceptions to core business functions (ERA exceptions, reconciliation items, etc.) Reviews errors on electronic remittance advice files and escalates to appropriate entities. Communicates with the payer to resolve undistributed balance.

• Prepares Cash reports for management & Finance.

• Prepares a General ledger journal for any deposits and forward to Finance.

• Acts as a liaison for the department between Finance, Access, Patient Financial Services, the bank, internal IT, Electronic Data Interchange, agencies, and management on remittance related queries. Plays a key role in month end closing by clearing assigned tasks, assisting with additional research and/or posting as needed.

• Oversees all aspects of Cash Management including identifying issues and recommending process enhancements for quality improvement. Assists in training and education of support staff.

• Reviews remittance advice or explanation of benefits received from the lockbox correspondence or agencies and enters appropriate action in the system.

• Assist ordering supplies such as check scanners, deposit slips and endorsement steps for physician practices.

• Process incoming insurance correspondence and payments to HMH locations.

• Assists customer service associates as needed to resolve and research payment issues.

• Other duties and/or projects as assigned.

• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required :

• Associate's degree or equivalent experience.

• Minimum of 2 or more years of experience in physician billing, remittance processing in EPIC, other billing systems, and/or a customer service oriented position.

• Good accounting skills with emphasis on reconciliation.

• Excellent data entry skills.

• Good analytical skills.

• Must be able to quickly and accurately count money and checks.

• Excellent written and verbal communication skills.

• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred :

• Strong knowledge of banking systems.

• EPIC experience/knowledge.

• Proficient in Windows applications and hospital billing systems.

Licenses and Certifications Required :

• Must successfully pass completion of EPIC assessment within 30 days after Network access granted.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Job ID 2024-152030

Department Faculty Practice Support - P

Site HMH Physician Services, Inc.

Job Location US-NJ-Edison

Position Type Full Time with Benefits

Standard Hours Per Week 40

Shift Day

Shift Hours 8:30 a.m. - 5:00 p.m.

Weekend Work Weekends as Needed

On Call Work No On-Call Required

Holiday Work No Holidays Required