Cash Application Representative

The Cash Application Rep II will be responsible to post payments and make adjustments to patient accounts. H / She will maintain records in filing system, document activities and contacts in system. Will develop understanding of assigned managed care contractor and payor requirements.

Qualifications : Minimum Education

High School Diploma or GED (Required)

Minimum Work Experience

2 years Related experience (Required)

3 years Health care experience (Required) Or

1 year Business Operations Spec. I or II (Required)

Functional Accountabilities

Patient Accounts

• Receive electronic and hard copy payment batches from payers; review documents for proper authorizations prior to posting; allocate and post payments to correct accounts.
• Process prepared requests for contractual adjustments and denials based on codes.
• Process inter-company transfers.
• Re-establish reimbursement paid in error and accounts receivable; identify and correct credit balances resulting from double payments.
• Based on payer requirements and department practices, determine amount to bill from parent / guarantor.
• Recommend write-off amounts to manager for decision-making.

Refunds

Record

Safety

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment / Identification

Teamwork / Communication

Performance Improvement / Problem-solving

Cost Management / Financial Responsibility

Safety