NI-Payment Reconciliation Representative

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

1/12/2025

Entity:

Illinois

Job Code:

NI-4476AC

Job Title:

NI-Payment Reconciliation Representative

FLSA Exemption Status:

Non-Exempt

JOB SUMMARY

Under the general direction of the Payment Posting Supervisor, the Payment Reconciliation Representative is responsible for the accurate and timely posting and reconciliation of payments received from patients, third party payers and internal retail departments.  Payments may be in the form of cash, checks, electronic funds transfer, vouchers or credit cards, and are posted to the Epic Billing System.

ESSENTIAL DUTIES

•

Accurately post EFT, cash and checks made payable to UW Health to the Billing System.

•

Ensure that all transactions are completed within the appropriate guidelines, policies, and regulations.

•

Communicate with UW Health staff, insurance companies, financial institution, and third-party payors to resolve.

•

issues related to proper posting of payments.

•

Process electronic remittance files, monitor/work payor work queues, and generate payment reports to balance.

•

Back up Payment Posting Clerk when necessary.

•

Support co-workers and engage in positive interactions.

•

Communicates professionally and timely with internal and external customers.

•

Demonstrates friendliness by smiling and making eye contact when greeting all customers.

•

Provides helpful assistance in anticipating and responding to the needs of our customers.

•

Collaborates with customers in planning and decision making to result in optimal solutions.

•

Ability to stay calm under pressure and deal effectively with difficult people.

As needed, additional responsibilities reasonably within the scope of duties and physical requirements may be assigned.  ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS AND RESPECT FOR PEOPLE COMMITTMENTS.

X

Non-Clinical

JOB REQUIREMENTS

High School Diploma

or equivalent.

Required

Associate's Degree

in Business, Finance, Health Information Management or related field.

Preferred

1 year

of experience in an insurance, finance, medical office, or customer service-related field.

Required

Revenue Cycle (healthcare business, financial or insurance) experience.

Preferred

Epic experience.

Preferred

LICENSE, CERTIFICATIONS, AND REGISTRATIONS MUST BE MAINTAINED PER UW HEALTH POLICY. 

•

Ability to make good judgments in demanding situations.

•

Ability to adapt to frequent changes in duties and volume of work.

•

Effective communication skills

•

Ability to listen empathetically.

•

Ability to logically and accurately organize details.

•

Ability to manage multiple tasks with ease and efficiency.

•

Self-starter with a willingness to try new ideas.

•

Ability to work independently and be result oriented.

•

Positive, can-do attitude coupled with a sense of urgency.

•

Effective interpersonal skills, including the ability to promote teamwork.

•

Strong problem-solving skills.

•

Ability to ensure a high level of customer satisfaction is delivered to all including employees, patients, visitors, faculty, referring physicians and external stakeholders.

•

Ability to use various computer applications.

•

Excellent PC operating skills (keyboard, mouse) and use of MS Office.

•

Broad knowledge of health care business office practices and principles.

•

Basic math skills and knowledge of general accounting principles.

•

Maintains confidentiality of sensitive information.

•

Knowledge of Business Office policies and procedures.

•

Knowledge of local, state, and federal healthcare regulations.

•

Excellent time management skills.

•

Knowledge of medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500) preferred.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Standing

X

Walking

X

Climbing

X

Bending

X

Crouching

X

Pushing / Pulling

X

Carry

X

Fine Hand / Eye Coordination

X

Color Discrimination

X

Hearing Ability

X

Lifting / Lowering 1 -15 lbs.

X

15 - 30 lbs.

X

30 - 50 lbs.

X

Over 50 lbs.

UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Concentration on Detail

X

Attention Span of 1 + Hours on a Task

X

Ability to Remember Multiple Tasks

X

Oral Communication

X

Written Communication

X

Exposure to Blood and Body Fluids

X

Exposure to Toxins, Cytotoxins, Poisons

X

Exposure to Extreme Heat, Cold, Temp Fluctuations

X

Exposure to Hazardous Chemicals

X

Exposure to Radiation

X

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

THE EMPLOYEE MUST BE ABLE TO COMPLETE ALL PHYSICAL REQUIREMENTS OF THE JOB WITH OR WITHOUT AN APPROVED ACCOMODATION. Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.