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SBO Payment Technician I, Accounts Receivable
Bayhealth | Dover, Delaware
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Job Description

Job Details

High School/GED

The team member's number one job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, related to how the proper handling of cash receipts impacts patients and families.This position is accountable for processing all daily cash receipts to patient accounts for the Medical Center, Bayhealth Medical Group and Medical Alternative Care, calculating and completely analyzing remittance advises to ensure payment and required contractual allowances are applied accurately. Identify and map payer specific denial codes to ANSI standard denial codes for denial posting to ensure appropriate actions are taken on claims. Responsible for reviewing undistributed and other payment error queues to maintain unapplied cash and reconciling items at a minimum. Reviews unreconciled control groups in Cash Management to apply payments to claims. Reviews patient pay credit balance queues monthly to apply credits. Performs necessary actions to reconcile refund checks issues and complete the refund transaction. This position restricts PTO on the last two business days of the month to enable a timely month end close.

Minimum Education and Experience:




High School Diploma, GED, or equivalent certification

One year college coursework in accounting


One year banking, bookkeeping or medical office experience or minimum 3 months of intern/externship of medical billing experience from a certification program.

Two years billing, bookkeeping, or collections in a hospital setting.

Computer/Software Knowledge:

Basic computer literacy and calculator experience. Experience using Microsoft Excel. 10 key touch skills.

Experience with Epic and McKesson/STAR or similar system. Proficient in Microsoft Excel.



Special Knowledge, Skills, and/or Abilities:

* Keyboarding 35 wpm & complete 3 minute 10 key typing test
* Knowledge of insurance plans preferred
* Knowledge of credit card payment processing
* Must be proficient in reading, writing, and speaking English.
* Knowledge of State and Federal insurance programs preferred.
* Ability to read and interpret documents such as an Explanation of Benefits and/or Remittance Advice and properly identify denials and patient responsibility amounts from remittances.
* Ability to problem solve/reconcile bank statements
* Ability to interact with staff at all levels
* Ability to multitask and use multiple windows/programs at one time.

About Bayhealth

Bayhealth's cardiac program also offers diagnostic cardiac catheterization, cardiopulmonary rehabilitation, cardiac care for patients recovering from heart attacks, nutritional counseling, and "Lifestyles Fitness Centers" for ongoing rehabilitation. All pre-surgical and post-surgical services, like the surgeries themselves, occur right here at Kent General Hospital, eliminating long-distance travel time for patients and their families. Patients no longer have to travel to Salisbury or Wilmington for cardiac surgery and interventional cardiology. The University of Pennsylvania Health System is home to the Hospital of the University of Pennsylvania, one of the nation's recognized leaders in cardiac surgical innovation and expertise. In 2005, for the ninth consecutive year, the Hospital of the University of Pennsylvania (HUP) was ranked as one of the nation's "Honor Roll" hospitals by U.S. News & World Report in its annual ranking of "Best Hospitals" in America. In that same issue, Penn's was also ranked #20 in "Heart and Heart Surgery." In the May 2003 issue of Philadelphia magazine, Penn Cardiac Care was identified as one of 36 Penn-based "Centers of Excellence" for its expertise in comprehensive cardiac care, including cardiac surgery. Since September 2003, UPHS and Bayhealth have worked together to plan policies and procedures, set up systems for the new program, and recruit and train staff. Now, Bayhealth will operate the administratively independent cardiac surgery program with access to UPHS for specialty procedures and support.

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