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Responsible for analyzing remits, accounts receivable, and utilizes EDI-835 remit standards to apply, reconcile and transact both patient and third party payor payment, denial and contractual data within multiple billing systems. Accurately analyzes and performs the necessary transactions and record keeping for patient and third party payments received in the Central Business Office for all assigned facilities and physician groups across the health system. The execution of the duties requires the ability to perform both routine and complex interpretive and analytical tasks in multiple information systems. Utilizes specialty system tools, such as Excel, EasyPrint, and various payor portals to review data and resolve discrepancies. Communicates with various external and internal customers when needed to resolve payment issues.

• Posts third party and patient payments, reviews and applies denials, rejections and remark transactions into multiple Information Systems with EPIC Enterprise Cash Application to be the main system, but includes other Information systems within UVA Health as assigned.

• Process electronic EDI – 835 remittance files and associated edit reports.

• Ensures files are reconciled to bank deposits prior to posting.

• Coordinate and process manual checks/correspondence/remittance files and patient payments into the appropriate billing systems.

• Stays current with contract arrangements for third party insurance carriers.

• Note cash discrepancies as outlined in the cash collection policy and procedures to the cash clearing log/GL accounts.

• Coordinate all filing of associated reports and receipts, and maintain detailed record of the unapplied cash account.

• Have a working knowledge of Patient Financial Services in order to explain, advise, or collect or post payments on accounts.

• Obtain correct and pertinent information from the patient or payer as needed for billing and follow up purposes based on needs of Physician and/or Hospital follow-up.

• Make sure appropriate documentation, correspondence, emails, etc. are scanned to the account for accurate documentation of work performed.

• Read and understand the explanation of benefits from all payers.

• Post accurate patient payments, insurance payments, and make adjustments as appropriate per billing and payment policies and procedures, payer explanation of benefits, or management directive.

• Complete cross training as deemed necessary by management.

• Complete special projects and analysis as assigned in a timely manner as directed by management.

• Always display professional and appropriate communications with co-workers, patients, and payers.

• Maintain strict confidentiality of all patient financial and hospital information.

Position Compensation Range: $16.64 - $25.79 Hourly

MINIMUM REQUIREMENTS

Education: High School Graduate or Equivalent.

Experience: 2 year's relevant experience in healthcare setting.

Licensure: None required.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.