Payment Poster II

Job Posting

The University of Rochester is committed to Meliora - Ever Better. Embedded in that ideal are the values we share : equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location : Rochester Technology Park

Opening : Regular

Time Type : Full time

Scheduled Weekly Hours : 40

Department : 910402 United Business Office

Work Shift : UR - Day (United States of America)

Range : UR URCA 204 H

Compensation Range : $18.34 - $24.77

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries / hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

General Purpose : Responsible for the accurate and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts. Researches unidentified payments, evaluates offsets for accuracy, balances holding accounts and creates general ledger deposits. Generates and posts refunds.

Essential Functions :

• Balances and posts electronic file payments from Medicare, Medicaid, Blue Cross, and MVP. Balances check payments, identifies discrepancies, and creates general ledger deposit receipts. Follows up on missed payment deadlines. Communicates with University Finance and Information Systems Division regarding process and problems. Evaluates offsets for accuracy, posts offsets, and records information to properly account for forward balances and completed offsets.
• Balances and posts commercial, workers compensation, no fault, and miscellaneous insurance payments. Reviews and interprets various remittances to identify and calculate the correct payment amount, patient co-pay, co-insurance, deductible, and interest total. Determines patient responsibility and applies denial codes. Analyzes and codes explanation of benefits and assigns correct rejection total and denial code. Evaluates offsets for accuracy, posts offsets, and records information to properly account for forward balances and completed offsets. Identifies when an interest payment is made and calculates amount to be credited to a general ledger account.
• Balances and posts patient payments received via live check, online banking, credit card or through the lockbox. Researches and determines applicable visit for posting based on transaction type.
• Researches and solves unidentified payments received with inadequate documentation for posting. Contacts hospital departments and insurance companies to inquire where payment should be applied. Communicates with Patient Accounts Office (PAO) staff regarding duplicate or erroneous payments and adjustment or indexing issues.
• Reconciles, validates, and balances individual holding and offset accounts. Verifies and generates refunds to insurance companies if payment received in error.
• Acts as liaison between PAO and Medicare / Medicaid / Blue Cross / MVP agencies concerning duplicate, insufficient, missing or erroneous payments. Creates and sends notices of adjustments on incorrect payments. Answers inquiries from PAO personnel concerning payments and rejections.
• Transfers insurance and patient monies between proper accounts and insurance levels. Transfers payments to / from appropriate University / Hospital general ledger accounts.
• Sorts lockbox batches and correspondence only items. Accounts for all lockbox batches and notifies Supervisor of any problems. Breaks down large remittances into smaller batches and balances to payment total. Reviews and processes correspondence according to department procedures.
• Scans, pre-works, and indexes batches. Posts self pay refunds, insurance refunds, and accounting office adjustments.

Other duties as assigned.

Minimum Education & Experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military / veteran status, national origin, race, religion / creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Classes). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates for all persons consistent with our values and based on applicable law.