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Job Summary
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Job Summary:
In accordance with the Mission, Vision and Values, and strategic directions of PHSA, safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA. As such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.
Within the context of a complex health care environment, and in addition to performing a variety of accounts receivable duties, this position is responsible to provide work direction, training and work guidance to others within the department/function. Performs account analyses, reconciliation, processes reciprocal billings and remittances. Selects accounts for collection; establishes payment arrangements and recommends write-offs. Prepares reports and spreadsheets.
Duties/Accountabilities:
- Provides work direction and guidance to others related to accounts receivable processes and procedures; provides training, assigns and reviews work, assists in solving complex problems and/or investigates and resolves.
- Analyzes designated accounts; reviews system reports for trends and/or discrepancies, identifies discrepancies such as those resulting from early patient discharges to avoid bad debt costs and provides explanations for fluctuations in accounts upon request.
- Reconciles designated accounts; matches to payments received, refunds and invoices issued; identifies and investigates discrepancies. Prepares adjustment information such as vouchers and credit balance refunds to resolve.
- Processes reciprocal billings for out of province clients. Enters patient information into computerized billing program and submits to the Ministry of Health. Follows up on late payments.
- Receives payments; enters information into cash receipts journal, balances and summarizes journal and receivable accounts; matches and checks payments received against invoices and posts from journal to accounts receivable ledger
- Processes patient charges; reviews Admitting Discharge Transfer for accuracy in patient's financial responsibility and codes to ensure correct classification. Adjusts financial class grading of patient accounts and/or inputs charges into billing system.
- Bills self-pay patient, out-of-province, WCB and similar sundry accounts; posts billing information such as charges for patient and medical agency accounts to the accounts receivable ledger and balances to the general ledger.
- Verifies invoices, statements and outpatient charge vouchers, admission and separation histories, etc. against source documents. Investigates discrepancies; contacts patients, relatives, social workers, immigration officers and/or applicable hospital staff for missing data ensure accuracy
- Enters submissions and resubmissions such as patient self-pay and patient agency charges, medical plan billings, room differentials, ALC and LTC charges. Distributes as appropriate.
- Reviews Medical Services Plan and Workers' Compensation Board remittances; checks Medical Service Plan reports for payment rejections and generates Workers' Compensation Board batch for claim preparation and processing.
- Selects accounts for collection; prepares listings and supporting documentation to transfer delinquent accounts to collection agencies. Maintains collection files; advises collection agency of payments and queries and provides additional information as required.
- Follows-up on delinquent patient, non-patient accounts and rejected Medical Services Plan and Workers' Compensation Board claims; reviews aging account reports and/or accesses applicable computerized billing system, corresponds on accounts to determine the reason for non-payment.
- Providing and approves alternate payment arrangements through contact with patients and/or various agencies; investigates into financial circumstances to establish payment installment plans. Decides when account is uncollectible and recommends write-off or referral to a collection agency.
- Prepares ad hoc reports; gathers applicable data, enters into spreadsheet format utilizing various computerized software packages and summarizes data for input into the general ledger system and/or other analysis packages.
- Maintains extended care patient trust accounts; requests and receives deposits, processes charges and prepares patient trust account statements as required.
- Updates patient agency information such as adjusting responsibility of payment information and lists of patients receiving outside services.
- Runs system reports such as Master Log, Journal Summary and Batch Listing on a regular basis; enters required system commands and distributes reports.
- Issues receipts for cash transactions; prepares bank deposits, balances and maintains daily receipts, records, petty cash account, etc.
- Maintains departmental procedure manuals and types correspondence utilizing word-processing software to draft and format documents according to departmental standards.
- Responds to telephone and/or front desk inquiries on various issues relating to cashiering and/or designated accounts receivable portfolio.
- Receives patient valuables; verifies contents of valuable envelopes and releases to patient on discharge according to policies and procedures.
- Provides coverage and training at hospital sites throughout the lower mainland as required.
- Performs other related duties as assigned.
Qualifications:
Education & Experience
- Grade 12, successful completion of a recognized accounting course and three years' recent related experience or an equivalent combination of education, training and experience.
- Knowledge & Abilities
- Ability to keyboard at 40 wpm.
- Ability to communicate effectively both verbally and in writing.
- Ability to deal with others effectively.
- Ability to supervise.
- Physical ability to carry out the duties of the position.
- Ability to organize work.
- Ability to operate related equipment.
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