Cash Applications and Account Follow-Up Representative - Full Time

Job Summary

Under the direction of the Manager of Patient Finance, the Cash Applications Representative is responsible for accurate preparation and posting of cash; both from electronic sources as well as manual sources. As an Account Follow-Up Representative, timely and effective resolution of unpaid hospital insurance accounts.

Job Description

1. Accurately processes / posts payments and adjustments to patient accounts within two business days of receipt. Maintains unidentified / unapplied cash accounts and resolves issues within 5 days of receipt and reports key issues to assistant manager/manager on a timely basis.
2. Works assigned aged accounts as determined by system worklist and/or manager. This includes, but is not limited to: follow up with payers via website/phone/email, resolution of credit balances, appeals for claim denials, and escalating problem accounts to manager and assistant manager as appropriate. Meets productivity goals.
3. Analyzes and researches reasons for outstanding billed accounts receivable. Determines and executes best approach for re-billing and resolution.
4. Corresponds with third party payers, according to established protocols, to obtain status and requirements for payment. Escalates problem accounts to assistant manager/manager for additional support, as needed.
5. Enters transaction notes/comments into all relevant systems to ensure accurate and complete account documentation, as well as timely follow-up of all assigned accounts and claims.
6. Requests information from other internal and external sources (hospital departments, physician offices, patients, etc.) in order to respond to requests and resolve claims favorably.
7. Performs cashier functions exercising sound financial controls. Provides excellent customer service to patients with questions pertaining to their bills.
8. Maintains current knowledge of federal and state billing regulations, insurance carrier contracts and policy and procedures, and any and all hospital systems relevant to the position.
9. Consistently demonstrates excellent organizational skills, the ability to manage time effectively and meet month and year end deadlines.
10. Performs any and all job related duties, as assigned, in a professional and positive manner to ensure efficient department operations and achievement of cash and A/R goals.

Experience Preferred

1. One year experience in Accounts Receivable, preferably in a hospital or healthcare setting.
2. One year experience in cash posting in a healthcare environment preferred.
3. Ability to review and interpret remittance advices preferred.

Education

1. High School Diploma or equivalent required.
2. Associate's Degree preferred.

Skills

1. Excellent verbal and written communication skills.
2. Comfortable dealing with numbers and financial information
3. Established problem-solving and organizational abilities
4. Proficiency In:

• Microsoft Office - Word, Excel and Outlook
• Computer billing systems
• Basic insurance/billing terminology