EOB Payment Processor

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

Experience

License / Certifications

Skills / Knowledge / Abilities

Physical Requirements

Weight Demands

Physical Activity

Occasionally Performed (1%–33%)

Frequently Performed (34%–66%)

Constantly Performed (67%–100%)

Job Hazards

Not Related

Rare (1%–33%)

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.

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