Overview

Under general supervision, ensures that payments are posted, reconciled and reported accurately for all hospital accounts for the University of Maryland Medical System Central Business Office. Determines if applied payments should be refunded; Researches patient’s accounts on all requested refunds and credit balances and completes necessary paperwork to finalize refund process. Contacts insurance carriers for information and/or clarification regarding financial reimbursement or rejections.

Key Responsibilities

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

· Collects deposit documents and verifies deposit totals. Separates the payments by type and groups into batches. Verifies that the batch total equals the deposit total, taking into consideration any miscellaneous cash received that was not deposited, but needs to be posted. Updates worksheets with daily information to account for all batches received for a given deposit date and verifies that the cash posting formula reconciles for a given deposit day.

· Reconciles daily. Reconciles all payment, adjustment and refund batches to the daily journal. Resolves any out of balance batches before closing. Processes include reconciling (balancing) so that the bank deposits equal the total batches (to be posted), and the total batches equal the posted amount plus any miscellaneous cash and that the total daily transmittals equal the applicable hospitals reports. Keeps all batches filed chronologically by date of entry to the system. Plans work for self, including setting goals, prioritizing work, and coordinating the execution of work.

· Posts payments and adjustments in the computer system to ensure accurate account balances. Reviews and checks the mathematical accuracy (including discount %) and completeness of financial documents and reports (such as EOB’s, vouchers, remits, and receipts). Verifies account number with patient information (name, date of service, etc.). Identifies accounts with a credit balance that may be eligible for refunds. Researches all documentation relating to the account balance such as notes, remittances, etc.

· Analyzes all documentation provided to verify all payments and adjustments are posted to the account accurately. Processes refunds to patient accounts, maintaining appropriate knowledge and understanding of the payers. Prepares refund request with all required documentation to be submitted to Management for approval.

· Posts payments electronically. Electronic payments are reviewed for accuracy before approving. Ensuring all payments are posted to the correct bucket, account number, and discounts are applied according to HSCRC yearly guidelines.

· Posts all unapplied cash to the appropriate service and patient account. Researches all credit balance accounts to ensure balance is actual credit prior to processing refunds for both insurance and patient amounts, including receiving refund checks, producing letters to patients and sending out checks and letters. Reviews multiple hospital systems for outstanding self – pay balances. Transfers credit to outstanding accounts, corrects any incorrect payment/adjustment postings.

· Using the daily transmittals from the cash posting team, reconciles posted cash totals from the applicable hospital systems reports, which tally each payment posted by user, batch number and batch amount. Enters totals posted by user into spreadsheets after totals have been verified. Reconciles beginning un-posted totals to ending un-posted totals.

· Analyzes, reviews and works work queues daily, accurately and timely. Works with Supervisors and Manager to ensure accurate knowledge of cash posting /Refund procedures. Continuously develops and enhances skills in areas such as service quality improvement, posting, reconciling, trouble-shooting, refunds, customer service, and interpersonal skills.

· Actively and continuously improves work processes. Uses continuous improvement tools and methods to improve individual, team, and cross-departmental performance. Provides guidance and assistance to co-workers where skills are in need of improvement, as needed.

All your information will be kept confidential according to EEO guidelines.

Compensation:
Pay Range: $19.5-$27.31
Other Compensation (if applicable):
Review the 2025-2026 UMMS Benefits Guide

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