- Under supervision, utilizes the appropriate systems and procedures to process payments, adjustments and denials for FVC Centers. Ensures payment, adjustment and denial transactions are accurately posted and reconciled according to department and company specifications and in compliance with regulatory requirements. Escalates more complex transactions and issues to Team Lead or supervisor as appropriate.
- Receives the electronic deposit confirmation via email from the bank for the FVC center location, downloads the images of corresponding paper Explanation of Benefits (EOB's) and prints electronic Remittance Advice (RA) reports from the electronic data interchange vendor (Navicure). Totals transactions on EOB's and RA's and verifies that balances total the respective deposit.Creates a batch by payer and/or deposit date and totals each batch.Applies the batched transactions to the appropriate accounts in the appropriate medical billing software application (Medical Manager or Imagine).Verifies that the applied transactions reconcile to the batch totals.Generates a payment application report and attaches to the batches posted for the day.Posts the non-payment transactions (including adjustments and denials) to the appropriate accounts in the medical billing software application.Closes all medical billing application batches on a daily basis
- Calculates sum totals of checks remitted on behalf of FVC centers, completes a bank deposit slip and attaches to the checks retaining a copy of the deposit slip. Delivers the original deposit slip and the checks to the Accounting department to be deposited. Batches any accompanying EOB's and enters the specified transactions according to the established department procedure.
- Maintains and updates the appropriate accounts on the Denial Batch Manager log. Updated information reviewed by the A/R Representative working on the denied and under/overpaid claims posted the prior business day. Adds accounts denied payment by the insurance carrier from the EOB's/RA's posted the current business day.Reviews the Reimbursement Log to determine if claims are being reimbursed according to the payer contract or government published fee schedule.Accounts with discrepancies between the payment and the fee listed on the reimbursement log are added to the Denial Batch Manager log. Payments less than the government published fee schedule are addressed by the A/R Representative.If payment exceeds the government published fee schedule, the payment poster sends a voluntary refund request to Medicare or Medicaid via mail, fax or telephone, as the specific intermediary or State Agency requires. CMS (Medicare/Medicaid) refunds are to be completed within 30 days of overpayment. Medical billing application is updated with details regarding status and action completed to initiate government refunds.
- Reconciles deposit totals for each FVC location to the transactions posted month-to-date. Generates a Cash Collections report from medical billing application indicating the payments entered for each FVC location for a specified month.Compares Cash Collections and month-to-date Deposit Log totals researching and escalating discrepancies as needed.
- May provide assistance to junior staff with more general support tasks that require a better understanding of functions, as directed by immediate supervisor.
- May refer to senior staff for assistance with higher level problems that may arise.
- Escalates issues to supervisor for resolution, as deemed necessary.
- Assist with various projects as assigned by direct supervisor.
- Other duties as assigned.
- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Prolonged sitting at a computer work station. Extensive use of telephone and ability to maintain a focused train of thought while multitasking in the process of investigating billing issues. Able to concentrate on detail oriented data for prolonged period of time. Able to adjust routine to accommodate departmental needs and goals; must be able to lift light objects; retrieve files from cabinets which may involve upward or downward physical mobility; can focus on computer monitor for prolonged periods and clearly see data in paper form with small font printing; can effectively communicate via telephone.
- High School Diploma required
- 1 - 2 years' related experience. Medical billing or collections experience required.
- Strong mathematical aptitude. Payment applications experience in a healthcare environment is helpful.
- Strong knowledge of Windows-based software applications. (E.g. Word, Excel¦).
- Excellent written and verbal communication skills.
- Strong organizational and time-management skills.
- Attention to detail.
- Positive attitude and team-oriented approach.
-
Representative - Post Sales Operations
vor 3 Tagen
First Solar GmbH Frankfurt am Main, DeutschlandFirst Solar is a leading global provider of comprehensive photovoltaic (PV) solar systems using advanced module and system technology. Through determined innovation, we have achieved a significant milestone by delivering solar energy that is an economically attractive alternative ...
-
Patient Account Representative Credits
vor 4 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · The Patient Account Representative - Cash/Credit provides administrative support to the daily operations within the assigned function(s). The incumbent is responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and ...
-
Key Manager
vor 3 Wochen
Fiserv Bad Homburg, DeutschlandYou deserve to do what you love, and love what you do – a career that works as hard for you as you do. At Fiserv, we are more than 40,000 #FiservProud innovators delivering superior value for our clients through leading technology, targeted innovation and excellence in everything ...
-
Remote Revenue Cycle Supervisor
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · The Supervisor, Revenue Cycle oversees the daily activities of the assigned team(s) to ensure the efficacy and efficiency of revenue cycle processes within the assigned function(s). The incumbent provides leadership and guidance by serving as a subject matter ...
-
Certified Registered Nurse Anesthetist CRNA
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence- ...
-
Production Architect
vor 2 Wochen
Fiserv Bad Homburg, DeutschlandYou deserve to do what you love, and love what you do – a career that works as hard for you as you do. At Fiserv, we are more than 40,000 #FiservProud innovators delivering superior value for our clients through leading technology, targeted innovation and excellence in everything ...
-
Senior Business Analyst
vor 2 Wochen
Fiserv Bad Homburg, DeutschlandYou deserve to do what you love, and love what you do – a career that works as hard for you as you do. At Fiserv, we are more than 40,000 #FiservProud innovators delivering superior value for our clients through leading technology, targeted innovation and excellence in everything ...
-
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsThis position can be fully remote · Global Regulatory experience needed. · Demonstrated project management experience needed. · PURPOSE AND SCOPE: · Ensures company products meet regulatory requirements by supporting all assigned regulatory aspects of product approval and post-m ...
-
Remote - Regulatory Affairs Associate II Pharma
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsThe ideal candidate should have US Advertising and Promotion experience. · This position can be fully remote. · PURPOSE AND SCOPE: · Ensures company products meet regulatory requirements by supporting all assigned regulatory aspects of product approval and post-marketing complia ...
-
Registered Nurse, RN
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment ...
-
Metro-NY Inpatient Dialysis Area Float PCT
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, ...
-
Dialysis Outpatient Registered Nurse
vor 2 Wochen
Fresenius Medical Care, North America Bad Homburg, DeutschlandPURPOSE AND SCOPE: · The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment ...
-
pct ii
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, ...
-
Senior Advisor Clinical Research
vor 1 Woche
Lilly Deutschland GmbH Bad Homburg vor der Höhe, DeutschlandDo you want to help improve the health of 51 million people worldwide who rely on our therapies every day? It is precisely these people, their families, friends and therapists, around whom our actions as a research-based pharmaceutical company revolve. · Do you want to be part of ...
-
Float Outpatient Registered Nurse
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment ...
-
Patient Care Technician
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regula ...
-
Outpatient Registered Nurse
vor 3 Wochen
Fresenius Medical Care, North America Bad Homburg, Deutschland Permanent position, GanztagsPURPOSE AND SCOPE: · The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment ...
-
Acute Patient Care Technician
vor 2 Tagen
Fresenius Medical Care, North America Bad Homburg, DeutschlandPURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, ...
-
Acute Patient Care Technician
vor 1 Tag
Fresenius Medical Care, North America Bad Homburg, DeutschlandPURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, ...
-
Acute Patient Care Technician
vor 3 Tagen
Fresenius Medical Care, North America Bad Homburg, DeutschlandPURPOSE AND SCOPE: · Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, ...
Payment Posting Representative - Bad Homburg, Deutschland - Fresenius Medical Care, North America
Beschreibung
PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Under direct supervision, enters payment, adjustments and denial transactions received for FVC Center locations via either paper Explanation of Benefits (EOB) or electronic remittance files ensuring the applicable billing deadlines are met. Reconciles payment entries with the daily bank deposits for the appropriate FVC locations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
EDUCATION:
EXPERIENCE AND REQUIRED SKILLS:
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
Career with a purposeWe offer an opportunity to create and deliver treatments that save and change lives for the better. We'll support your ongoing development. And you'll be part of a dedicated team of people who inspire each other to create the best possible healthcare outcomes each and every day. Inclusion and diversityJoining Fresenius Medical Care means becoming part of a team that values diversity. We embrace the wealth of different backgrounds, cultures, experiences and opinions that make up our workforce and strive to create an inclusive atmosphere in which all our employees feel valued. StabilityDeveloping innovative products and continuously improving our renal therapies made us the clear market leader in the production of hemodialysis machines, with sustainable, profitable growth . This position provides our employees with the stability and security they need to help improve the lives of our patients. Learning and developmentWe offer participation in programs at world-class business schools, leadership development, regular training for our nurses, health care professionals and manufacturing staff and digital access to high-quality educational content for all employees worldwide 24/7. Local benefitsOur employees enjoy both local and global opportunities for growth and personal fulfilment. We offer local benefits designed to suit the requirements of the respective country and place of work to create ideal conditions everywhere. Work-life balanceWe want to empower people to deliver better care. Therefore, we promote a better work-life balance through flexible working hours, part-time models, the possibility to work from home, and more.
