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Cash Application Representative

POSITION SUMMARY:

Maintains and posts insurance, self- pay, and pro-bill accounts to insure accurate and timely payment. Posts denials and correspondence. Reviews and resolves accounts for correct balances.

PRINCIPAL JOB DUTIES:

Duties may include but are not necessarily limited to the following:

  • Works assigned patient accounts and rejections within department guidelines. Thoroughly reviews all outstanding charges and submits supporting documentation per payer and departmental guidelines. ERA/ EFT and manual banking files are maintained and completed daily as required.
  • Takes initiative independently to resolve a variety of claim matters. Thoroughly reviews all open accounts on a regular basis. Reviews patient accounts and determines appropriate action needed to post and collect for additional payments. Makes outbound calls to insurance companies to resolve payment discrepancies, Document all activities.
  • Posts ERA/ EFT bank files, manual insurance checks, credit cards, cash and patient payments timely and accurately.
  • Resolves and researches out of balance conditions and ensures that each batch balances.
  • Reports daily, weekly and monthly status reports. Prepares other special and periodic reports as requested.
  • Follows all Compliance protocols paying attention to HIPAA and other federal guidelines
  • Other duties as requested and/or needed by Management

EDUCATION:

  • HS degree or equivalent

EXPERIENCE AND REQUIRED SKILLS:

  • Minimum 2-3 years healthcare experience required
  • Previous healthcare revenue cycle experience required in a healthcare or similar environment
  • Medical terminology/billing experience required. Knowledge of medical billing, third party payers, Medicare, Medicaid, CPT IV and ICD10 codes, and HIPPA as well as medical terminology, insurance benefits and appeal processes experience
  • Strong written and verbal communications skills
  • Proficiency with Microsoft Office (Outlook, Word, Excel)
  • Flexible and able to function expertly in a fast-paced environment
  • Must be a team player and work in an accurate and timely manner
BioReference Laboratories is an Equal Opportunity Employer

 



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