Cash Applications Specialist

3 days ago

Quezon City, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time $104,000 - $130,878 per year

Cash Application Specialists are responsible for the overall payment posting for their assigned territory. This includes posting payments, denials, and correspondence; weekly & monthly reconciliation; timely adjustments; writing refunds; and balancing 100% to daily cash logs.

Responsibilities

  • Post payments and correspondence received from patients and insurance carriers for assigned centers.
  • Assess insurance carrier explanation of benefits (EOBs) for in and out of network services to identify correct payment allocations or denial reasons.
  • Post adjustments, transfers, and refunds based on contractual agreements.
  • Post zero payment remits, offset remits, and retractions.
  • Review all items classified as unidentifiable and resolve through contacting the payers and posting to the appropriate account.
  • Balance 100% to Deposit Log and Software Application. Locate Variances and correct as soon as possible.
  • Review and resolve credit balance accounts through refunds, retraction request, or adjustments.
  • Upload Daily Patient Statements to Clearinghouse.
  • Take incoming patient calls to resolve outstanding balances.
  • Identify and report payer trend issues to manager.
  • Provide coverage for team members as assigned.
  • Additional duties as assigned.

Requirements

  • 2+ years of ASC revenue cycle or orthopedic payment posting or collections experience.
  • Ability to read and interpret insurance explanations of benefits and managed care contracts.
  • The ability to communicate effectively, both verbally and in writing, with internal and external clients.
  • Knowledge or experience working with a variety of health care insurance payers is preferred
  • Intermediate computer proficiency in Microsoft Office including Excel and Outlook
  • Advantx, Vision, HST experience preferred.
  • High School Diploma or equivalent

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