Cash Applications Specialist
3 days ago
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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