This position oversees the daily automated billing and posting job streams within assigned departments; identifies errors and exceptions, trouble-shoots and corrects errors, entailing posting and reconciliation of transactions.
Monitors daily translation and transmission of electronic billing claims and printing of UB92, UB04, HCFA 1500 and CMS 1500 claim forms, including identifying and correcting errors, and ensuring balancing of all activities by extracting crucial data elements and performing analysis on results.
Obtains and prepares and posts daily, weekly and monthly payment and adjustment transactions using the electronic posting program. Identifies errors and exceptions, researches, corrects and posts to appropriate accounts with adequate documentation. Ensures all transactions balance and identify and correct errors.
Researches and evaluates third party claims companys' edits and modifications with payer units to validate appropriateness for Banner Health billing processes. Validates compatibility of new or requested edits with existing billing processes and procedures.
Researches, implements and tests new lines of electronic billing and posting. Participates in new software setup requiring engagement of other Banner departments, vendor contacts, and internal reviewers.
Utilizes multiple systems and/or programs to provide statistical data in support of issues list(s) provided to payers and internal customers/management.
Maintains an accurate and low balance in claims billing system and General Ledger holding accounts for irreconcilable transactions. This entails contacting possible recipients, researching payment documentation, reviewing patient accounting system, contacting finance department, reviewing GL transactions, and participating as needed in bank account reconciliations.
May provide training to other staff, provide feedback to improve processes, and work on special projects. May function as a project/or process lead within the unit.
High school diploma or equivalent required. Requires knowledge normally evidenced by advanced education in accounting or information systems.
Equivalent experience typically obtained through four or more years of work experience in a financial services or patient account management environment with a broad understanding of patient billing and patient accounting systems.Position requires expert analytical skills. Applicant must have the ability to test, document and implement new application programs over various hardware platforms. Requires the ability to analyze and effectively recognize system problems. Excellent follow through needed to resolve system application issues within a timely manner. Ability to gather and analyze data elements from automated systems to troubleshoot and resolve data or application errors. Must have the ability to plan and organize large data sets. Must have the ability to interact with Banners Information Technology staff and guide them to technical solutions for system issues. Requires knowledge of medical terminology and an understanding of the laws associated with confidentiality, credits and collections. Effective communication skills, both verbal and written, and human relations skills are required.
Bachelors degree in Accounting, Finance, or Information Technology is preferred.
Additional related education and/or experience preferred.
Internal Number: 257451
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.