Accounting Technician

**PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, Casa Grande, and San Xavier Health Center.** **Position Summary:** The incumbent is responsible for posting third-party (Medicare, Medicaid, and Private Insurance) payments and adjustments to the accounts receivable ledger (RPMS) in the Patient Accounts Section. **Scope of Work:** The position is located at the TONHC Hospital and Clinics. The incumbent works under the general supervision of the Business Office Manager or designee. **Essential Duties and Responsibilities:** *(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):* - Maintains accounts by reviewing documents to verify accounting data and entering data into the system. - Reconcile accounts, compare account balances with related data to assure agreement, reviewing records and source documents to identify the sources of discrepancies. - Prepares reports reflecting the examination made, discrepancies noted, and the corrective entries required adjusting accounts. - Examine for accuracy of claims and other requests for payment for (1) services provided by TONHC; (2) reimbursement of expenditures made by beneficiaries and non-beneficiaries for such purposes as medical care and treatment. - Maintains the automated accounts receivable ledger associated with third-party payer claims; responsible for associated records and documentation. - Reviews and reconciles all third-party documents for correct data on all third-party vouchers for accurate claim numbers. - Prepares weekly, monthly, quarterly and annual reconciliation and recapitulation of third-party billing to assure that collections, billed data, and the computerized and manual reports are in balance. - Reviews and examines various bill types of patient care to third-party payers and performs third-party collection posting to the automated accounts receivable program. - Receives and reviews all Explanations of Benefits and remittances from third-party payers. Identifies and records proper claim numbers on each remittance and posts them to the appropriate account. - Responsible for posting all contractual/adjustments related to, and in conjunction with, posting payments per hospital policy and procedures. Monitors account balances, reviews postings to ensure accuracy, and recommends appropriate corrective action. - Audits all documents received for completeness and accuracy; analyzes and selects guide to determine whether payments are full or partial per hospital policy and procedures; whether they are timely; and whether remittances are advances, installments, or supplements. - Maintains current documentation and guidelines on reimbursement activities to appropriate files, binders, etc., and ensures preparation and distribution of copies to all applicable disciplines. - Safeguard the alternate health insurance claims' resource program contents as privileged communication and disclosure of information only within TONHC policy limits. - Completes special projects within the required timeframe to ensure compatibility of project specifications. - Verifies the accuracy of payment history for the period involved and determines the extent of underpayment or overpayment. - Responsible for assisting in the timely resolution of unidentified cash received by the hospital according to hospital policy and procedures. - Maintains confidentiality when handling financial records or documents. - Performs other job-related duties as assigned and contributes to a team effort. # Knowledge, Skills, and Abilities: - Knowledge of the Tohono O'odham culture, customs, and traditions. - Knowledge of applicable federal, state, tribal laws, regulations, and requirements. - Knowledge of TONHC Internal Controls policies and standards for accuracy and timely posting. - Knowledge of total program operation and the priorities and go…