Logo
Nebraska Methodist Health System

EOB Payment Processor

Nebraska Methodist Health System, Omaha, Nebraska, us, 68197

Save Job

EOB Payment Processor – Nebraska Methodist Health System Location: Methodist Corporate Office, 825 S 169th St. – Omaha, NE

Work Schedule: Mon – Fri, 8:00am to 4:30pm

Job Summary Responsible for all payment processes for insurance and patient pays, ensuring accurate coding, timely posting, and maintaining data integrity across electronic and paper systems.

Responsibilities

Manual payment process for insurance and patient pays.

Accurately code and prepare all EOB's for manual posting including “0” pays.

Primary payer manual postings maintained within 48 hours.

Accurate preparing of patient pays with manual posting in 24 hours.

Scanning coversheet process.

Correct Header to match Batch ID utilized.

Correct Date used to match activity/post date.

EOB column matches with check column.

Electronic spreadsheet data maintained.

Timely input of data from electronic payment reports.

Daily balancing utilizing on required columns.

Knowledge of paper trails and future recoupment payments.

Correction batches and transfers.

Correction batches with appropriate description within 48 hours.

Transfers processed within 48 hours including transfer form and appropriate posting as needed.

Correction batch and transfer information entered on scanning cover sheet and into electronic spreadsheet.

Timely management of EFT's within 48 hours.

Daily check the EFT spreadsheet for your payer entries.

Manually post EFT EOB's within 48 hours.

Correct EFT information when processed to Accounting Balancing Clerk.

Timely processing of any paper checks received for posted 835 files.

Process paper checks received for 835 files within 24 hours.

Present accurate information to Accounting Balancing Clerk for paper checks.

Update electronic spreadsheet with paper check receipt date.

Maintain work folders.

Place processed work in correct boxes for balancing and give appropriate batches to scanning department.

Store pending work in pending work cabinet and communicate is contents to appropriate staff at end of work day.

Research missing EOB's or pending checks.

Follow up on any EOB's not received that match with EFT deposits.

Follow up on any outstanding check not received that match with 835 file postings.

Document this information in your pending work communication.

Timely processing of Unassigned Account entries.

Research any 835 entries within 48 hours.

Follow up with any manual posts within 30 days by doing check request or following regarding incorrect recoupment.

Document this information in your pending work communication.

Process referrals and other duties assigned.

Process referrals received within 48 hours.

Process any other duty within the time designated.

Assist as needed with required testing projects.

Reporting/Balancing HP24 reports daily.

Reporting/Balancing LockBox daily.

Reviewing and correcting the Split Payment report daily.

Communicating with VNA and handling all transfers daily.

Monitors and applies payments to Employee Payroll deductions.

Monitors and applies payments to patient’s Bank Loans.

Process electronic payments from FNBO bill pay.

Schedule Mon – Fri, 8:00am to 4:30pm

Job Requirements Education

High school diploma, General Educational Development (GED) or equivalent required.

Bookkeeping classes preferred.

Experience

One year data entry, balancing, or other related experience required.

Prior cash handling experience, balancing, or reconciling strongly preferred.

Microsoft program experience preferred.

License/Certifications

N/A

Skills/Knowledge/Abilities

Strong computer skills, ability to work in multiple systems

Must demonstrate good communication skills and math principles.

Requires the ability to operate a 10-key calculator by touch.

Requires the ability to read and write English.

Physical Requirements Weight Demands

Light Work – Exerting up to 20 pounds of force.

Physical Activity Occasionally Performed (1%–33%)

Balancing

Climbingli>

Carrying

Crawling

Crouching

Distinguish colors

Kneeling

Lifting

Pulling/Pushing

Reaching

Standing

Stooping/bending

Twisting

Walking

Frequently Performed (34%–66%)

Hearing

Repetitive Motions

Seeing/Visual

Speaking/talking

Constantly Performed (67%–100%)

Fingering/Touching

Grasping

Keyboarding/typing

Sitting

Job Hazards Not Related

Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)

Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)

Equipment/Machinery/Tools

Explosives (pressurized gas)

Electrical Shock/Static

Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)

Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

Rare (1%–33%)

Chemical agents (Toxic, Corrosive, Flammable, Latex)

Mechanical moving parts/vibrations

About Methodist Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Equal Opportunity Employer Nebraska Methodist Health System is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by federal, state or local law.

#J-18808-Ljbffr