Posting Representative

Job Description

Job Description

VISION, MISSION, PLEDGE & VALUES:

Every employee of SIHF Healthcare is expected to uphold our vision, mission, and values. Our actions will reflect our values of Compassion, Diversity/Inclusivity, Excellence, Integrity, Respect and Stewardship creating a culture in which all individuals are treated with dignity and respect. This will result in our vision of an “Enriched health and life in a just society” through the fulfillment of our mission to build partnerships, develop safe and affordable housing, community engagement in building trust and solutions, foster economic development, provide access to comprehensive health care services, and reduce disparities

CUSTOMER SERVICE COMPLIANCE STATEMENT:

Treat every person with dignity, respect and kindness by listening with your full attention, address questions/concerns immediately, and accept responsibility to follow through by always doing what you say you will do. You support our customers, and your team, by being patient, understanding and positive, knowing that you are SIHF Healthcare to those we serve.

POSITION DESCRIPTION:

Responsible for ensuring team performance that supports the mission of SIHF Healthcare and facilitates the achievement of health center or department goals and objectives. Administer the functions within the department including but not limited to refunds, unpostables, uploading explanation of benefits (EOB) and NSF checks.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Research accounts with credit balance or overpayments to provide necessary resolution.

1. Prepare all supporting documentation to resolve each account to a $0 balance. Prepare refund request as needed.

1. Interact with leadership and department staff to resolve customer concerns.

1. Collect and post payments as directed by department leadership.

1. File manual documents received for the team.

1. Document refund checks in Athena when received from accounting.

1. Upload payment batches and EOB information into EMR as directed by leadership team.
2. Process returned mail and void NSF checks in the EMR.
3. Set a good example for team members in the area of professionalism, customer service, and adherence to SIHF Healthcare policies and procedures.

1. Provide excellent customer service to patients, client’s daily and other team members of SIHF Healthcare.

1. Perform routine duties with minimal supervision.

1. Must be HIPAA compliant and maintain confidentiality of all health records.

1. Other duties as assigned.

KNOWLEDGE, SKILLS, ABILITIES:

1. Must have well developed oral and written communication skills with the ability to read and comprehend simple instructions, write short simple correspondence, and memos.

1. Ability to effectively present information in small groups and one-on-one situations to customers, clients, and/or other employees of the organization.

1. Proficient personal computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.

1. Ability to handle multiple tasks and prioritize.

1. Requires the ability to maintain confidentiality.

1. Knowledge of Medicaid, Medicare and all third-party billing guidelines.

EDUCATION AND EXPERIENCE:

1. High school diploma or GED and six (6) months related experience preferred.
2. An understanding of billing rules and regulation related to Medicaid, Medicare, insurance and self-pay physician services is desired.

PHYSICAL DEMANDS:

Sedentary physical activity performing non-strenuous daily activities of an administrative nature

WORK SCHEDULE:

Normal work hours for this position are Monday through Friday dayshift. Occasionally, weekends and/or overtime is required.

COMPLIANCE STATEMENT:

Abide by the requirements all applicable State and Federal laws.

MEDICAL HOME STATEMENT:

Be aware and understand expectations and responsibilities of the Patient Centered Medical Home. Understand role, complete relevant duties, and the requirement to maintain highest level of proficiency within scope, as part of this team-based approach in the patient care continuum.