General Summary

Under limited supervision is responsible for the collection of the account balances from all third party payors and patients, for services rendered at UMMC, Kernan, and Specialty Hospital. Manages the Cash Posting area and Follow-up. Develops and maintains the policies and procedure to effectively manage the electronic cash posting system and the cash posting team.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Review and analyze summary level A/R reports against defined targets. Pro-actively analyzes various key performances indicators within the billed accounts receivable to identify differences between projections and actual year to date results as it relates to: aging days of accounts receivable, returned claims/billing rejections/third party denials, bad debt, write offs, vendor performance, bad debt recoveries, and medical assistance eligibility conversion rate. Advises Managers of corrective action when necessary.
• Establishes protocols and standards for the account resolution for Financial Service Representatives. Includes quantity, quality, account prioritization, account documentation requirements, and overall account process requirements.
• Oversees Department Manager performance; coordinates and prioritizes assigned activities to achieve maximum productivity and assumes responsibility for professional growth and development.
• Review and evaluate recurring trends; identifies lapses in clinical department protocols that prohibit the collection of dollars due to administrative reasons, such as lack authorization, non-covered services, lack of timely filing, eligibility, exceed policy terms, etc. Collaborate and resolve issues with other Revenue Cycle departments; makes recommendations to external departments to implement appropriate measures to decrease lost reimbursement.
• Primary representative to third party payers to resolve high dollar accounts (over $50,000) for the Centralized Business Office.
• Evaluates daily/monthly and year to date performance of collection personnel, recommends improvement to individual staff account productivity and adherence to Centralized Business Office policy.
• Reviews monthly and year-to-date cash deposited/posted reports and reconciles any difference with Accounting. Work with Accounting and other departments involved in the handling of cash to resolve any problems regarding regular bank or credit card deposits and proper distribution of general ledger numbers, including the separation of Accounts Receivable payments and Bad debt recoveries. Implements monthly/yearly cash, days in Accounts Receivable and uncompensated care projections based on deposit and posted totals.
• Oversees Manager and staff in the Cash Posting division. Includes reviewing and delivering performance evaluations, training and disciplining all system support personnel. Delegates authority as determined appropriate. Provides a goal oriented work environment in which to implement the operation of the Cash Posting policies.
• Responsible for organizing and designing more efficient procedures for batching lockbox and mail cash, electronic and manual payment posting, denial research and proactive analysis, refund management, filing of remittances, and remittance retrieval.
• Responsible for improving the timeliness between the deposits and posting date of every payment. Implements reports and balance techniques for reconciliation between bank's deposit and batch totals, batch totals and posting totals, posting total and system totals.
• . Participate in departmental and organization-wide meetings/workgroups. Conducts weekly meetings with managerial staff and interacts closely with other departments to provide a smooth business flow to reflect the effectiveness and scope of all policies and procedures administered by the department.
• Resolves customer service issues promptly and with satisfaction to the patients involved. Demonstrates a positive and professional image at all times when interacting with patients, management, staff and others.