Job Description
Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live. Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
Position Summary:
This position is responsible for Steward Medical Group follow up operations, meeting goals and company objectives, in assigned areas of collections, payment validation, customer service and correspondence using any patient accounting system. Reconciliation Specialist must ensure that all processes meet all government mandated procedures for integrity and compliance. The Reconciliation Specialist reports to the Cash Operations Supervisor.
Responsibilities:
Reconcile Bank Accounts using established controls.
Produce month end finance reports.
Handle non patient cash.
Reconciliation of the GL.
Manage Intercompany Transfers.
Reconcile patient account postings to deposits in bank.
Transfer payments to and from the various Steward vendors.
Work manager holds in Athena related to claims.
Resolve unapplied cash issues.
Upload remits for posting in Athena.
Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
Required Knowledge & Skills:
2-3 years experience with medical billing/collection; physician billing experience preferred.
2-3 years experience with Cash Operations including balancing, reconciliation and EOB interpretation.
Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus.
Experience with patient accounting systems and billing/claim submission software; specific Athena Health experience a plus.
Ability to work independently and identify when Lead or Management assistance is needed.
Moderate to advance level of excel knowledge-including pivot tables.
Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.
Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.
Additional Information
Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.
Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.
1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.
Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live. Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.