Senior Cash Applications Representative

Job Description

Primary City / State :

Phoenix, Arizona

Department Name :

PFS Cash Applications

Work Shift : Day

Job Category : Revenue Cycle

We are seeking detailed, knowledgeable senior cash applications representatives to come do great work on behalf of better health as an integral part of our clinical diagnostic care collective. The ideal candidate will have some healthcare billing background to ensure an excellent patient billing experience.

If you are passionate about quality patient billing, you belong here!

POSITION SUMMARY

Responsible for the interpretation and accurate posting of all third-party / government payers' payments, denials, and adjustments, as well as all patient and client payments. Also documents and reports payment issues and assists in payment issue resolution. Must have the ability to review and analyze all insurance explanations of benefits / payments and electronic remittance advices. Coordinates and facilitates account refunds, complex adjustments, and collection accounts. Researches and reconciles unapplied and / or missing payments. Requires the ability to interact with all levels of personnel and management.

CORE FUNCTIONS

1. Reviews and analyzes payer remittance advices, in order to report trends to management, as well as collaborate and meet with third-party / government reimbursement, as necessary, to facilitate resolution to outstanding payment issues requiring higher-level intervention.

2.Evaluate payer remits and denials for accurate posting and potential transfers to patient receivables. Evaluate accuracy of reimbursement relative to contractual requirements. Determines adjustment, corrections, or patient liability.

3.Reviews, evaluates, and posts all payments, denials and adjustments from manual and electronic insurance remittance advices, as well as client and patient payments in an accurate and timely manner in accordance with departmental policies, procedures and performance goals.

4.Researches and resolves missing, misdirected, and unidentified payments, as well as prepaid accounts. Coordinates transfers of misdirected payments to Quest Diagnostics Business Units.

5.Interprets and resolves written correspondence involving payment transfers, adjustments, credit balances, refunds and collection accounts. Documents requests for outside Collection agency.

6.Assist in Internal Audits and comply with checks and balances in accordance with departmental policies, procedures, generally accepted basic accounting principles and practices and all applicable laws and regulations.

KNOWLEDGE, SKILLS AND ABILITIES

• Excellent organizational skills.
• Ability to handle highly confidential information.
• Ability to exercise independent judgment.
• Demonstrated ability to set and maintain multiple priorities in an environment with shifting priorities, while providing accurate deliverables in a timely fashion.
• Must be self-motivated and able to take ownership of projects / assignment.
• Must be a team player.
• Must have excellent customer service skills with outstanding follow-up.
• Strong interpersonal, verbal and writing skills.
• Knowledge of standard office equipment. Intermediate math, analytical and typing skills.
• Ability to work independently and accurately with high volumes of data and minimal supervision.

MINIMUM QUALIFICATIONS

PREFERRED QUALIFICATIONS

EEO Statement :

EEO / Disabled / Veterans

Our organization supports a drug-free work environment.

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