Cash Associate- 3rd Party Revenue Cycle Cash Associate
$21.00 - $22.00 / hourly
Apply (opens in a new tab)Cash Associate- 3rd Party Revenue Cycle Cash Associate
Posted 7 days ago
SENIORITY
Mid
SALARY
$21.00 - $22.00 / hourly
About the role
- DailyPayFlexible schedules
- Competitive pay
- Shift differential
- Health, dental, vision and life insurance benefits
- Company paid STD and LTDTuition Assistance
- Employee Discount Program 401kPaid-time off
- Tuition reimbursement
- Non-retail/Closed-door environment
- Researches and takes necessary actions to resolve unapplied cash portfolio
- Determine if payments should be re-applied to claims or refunded to payer
- Reconciles payments to open AR at claim level
- Work with multiple internal databases and reporting tools (Cloud docs, Cognos, Access, etc.) to research and locate backup information to be sent to the cash team for payment posting
- Prioritizes workload and ensures cash is posted accurately and timely in accordance with the cash processing center standards through the AS400Understands different approaches to claim resolution based on internal coding of claim
- Associate may need to initiate refunds, provide detailed spreadsheets, research Provider Line Balance or provide other information to 3rd Party payers that will result in a successful reconciliation of funds
- Communicates with 3rd Party Payers, and internal departments to achieve appropriate posting or reconciliation of cash
- Collaborates with the Co-Pay Recovery Team to resolve co-pay balances and prevent write offs when the company has a payment in unapplied cash
- Print and key reversals of variance or write-off batches per guidelines of Sarbanes Oxley requirements and Signature Compliance in order to apply payments received after adjustment
- Works with Department Manager in identifying any payer issues that may require special attention or need escalation
- Works to understand specific reasons for failed electronic reconciliation or recoup through the 835 process and discusses opportunities for improvement with management
- Maintains and accurately reports all reconciliation activity on monthly aging spreadsheets
- Records daily productivity results accurately in the Productivity Database
- Properly documents all communication and follow up that is necessary to apply payment or produce refund
- Works through assignments independently and timely with limited direction
- Able to handle high volume and significant workload
- Works with 3rd Party Claims Reconciliation Supervisor and/or Manager on special projects as needed
- Works 835 exception shared e-mail box as needed
- Performs other related duties as assigned
- Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
- High School graduate, GED or equivalent experience is required
- Associates degree, 4 year college or technical degree is preferred 1 year cash or claims reconciliation, Accounts Receivable and/or collections experience is required
- Third Party Billing or collections/billing experience in the healthcare industry is preferred
- Understanding of revenue cycle functions within pharmacy practice or equivalent setting is preferred
- Proficiency in MS Office Products (Excel, Word) and basic computer knowledge is required
- Excellent time management skills and attention to detail is requiredAS400 Computer Systems Experience is preferred
- About our Line of Business
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