Electronic Transactions Professional

Position Summary The Electronic Transactions Professional is responsible to ensure all electronic claims are transmitted and confirmed and that all electronic remittance advice, electronic funds transfers, lockbox functions, and on-line electronic payments are received and prepared for posting. Responsible to help monitor and determine payers for EFT and/or ERA setup when applicable. This Professional will also edit and maintain all claim and remit dictionaries within Meditech and Cirius. This Professional will perform root cause analysis for payer payment issues. Maintains systematic/procedural Cirius edits and communicates changes to all affected stakeholders. Education Associates of Business - Preferred Experience 2-3 Years Hospital Patient Accounts - Required License & Certification None Required Core Job Functions Ensures billing system transmits claim files daily. Reviews transmission confirmations and payer rejections reports and reconciles daily. Monitors billing system rejections and denials to ensure claims are worked for transmission. Accurately identifies all AR Payments. Documents EFTs/ERAs on appropriate Excel spreadsheet and updates non-AR payments when identified. Prints individual EFT report for all daily AR deposits. Ensures ERAs are prepared for posting daily. Is accurate when merging batches and saving and posting remittances on posting shared drive. Is accurate when creating summary batch report for posting table. Ensures claims are imported from Meditech into Cirius Claims software daily and that Electronic Remittance Advices and Electronic Funds Transfers are retrieved and prepared for posting daily. Monitors Claims Editor production and other departments' productivity reports to ensure claim edits, errors, denials, and rejections are resolved within established timeframes. Ensures that clean claim percentage is at or above the department standard.