Mgr Cash Application

Manager RC Cash Applications

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful : to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Job Summary : The Manager RC Cash Applications is responsible for managing the daily operations of the hospital-based payment posting department and the cash reconciliation and reporting. Providing direction to ensure timeframes are met for posting payments and adjustments, ensure daily processes and reports are completed in a timely and accurate manner, and to ensure daily reconciliation of payment posting to deposits are completed and accurately reported. Coordinates staff training and quality assurance. Completes and maintains policies and procedures. Completes and reviews productivity and departmental reports. Ensures accurate and timely posting of ERA posting files and is responsible for testing as applicable. Ensures and provides reconciliation and cash reporting to leadership on a daily, weekly, and monthly basis. Responsible for identifying and completing payer ERA and EFT enrollments. Responsible for the accurate and timely resolution of the EPIC Clearing and Undistributed accounts. Management skills are required in the daily operations of assigned area and in the supervision of subordinate staff. It is imperative to maintain a good working relationship with management, staff, and external contacts such as insurance representatives. The Manager Cash Applications position requires the use of independent judgement and decision making; as well as strong analytical, problem solving, and leadership skills. Internal contacts include all levels of staff and management, including physicians, management, and staff. External contacts include insurance companies, state and federal agencies, outside accounting firms and auditors; resolving problems and issues, and discussing sensitive and confidential information.

Core Responsibilities and Essential Functions :

• Responsible for day to day operations of the cash posting department.
• Keeps management abreast of all issues and concerns of the department.
• Maintains payroll responsibilities.
• Oversees staff productivity and accuracy to ensure accurate and timely postings in managing daily unposted cash.
• Conducts regular performance reviews for staff and recommends salary adjustments or disciplinary actions.
• Conduct the interviewing and screening process of staff hires.
• Holds regular meetings with staff and promotes positive staff morale.
• Maintains excellent customer relations for all internal and external customers.
• Requires proficiency in MS Office applications.
• Coordinate Connect and IT tickets related to department functions.
• Create / update department policies, procedures, and job aids.
• Demonstrate effective departmental leadership and provide appropriate direction to the staff.
• Utilize quantitative production reports and providing consistent feedback to staff.
• Maintain effective communication with other Revenue Cycle departments.
• Apply appropriate supervisory, management and leadership techniques in an operational setting.
• Work effectively with difficult people and / or difficult situations.
• Evaluate best practice suggestions for possible outcomes in the revenue cycle.
• Demonstrate effective functions by assisting with daily planning, organizing, prioritizing, and management of operations, evaluating trending, optimizing workflows and processes, creating action plans, and resolving issues.
• Create a team environment through training, recognition, and evaluation.
• Set obtainable strategic and short-term goals maintaining expected level of staff productivity as well as conducting performance studies to improve productivity, streamline operations and gain efficiencies.
• Responsible for implementation of new technology and training.
• Reviews, researches, and implements new technology impacting Cash Applications.
• Coordinates training and quality assurance feedback to staff.
• Develops and maintains policies, procedures, and job aids.
• Ensures all banking instructions are valid and processing without error.
• Maintains a thorough knowledge of Wellstars Compliance department policies as they relate to the payment posting and reconciliation processes.
• Maintains a working knowledge of the ASCX12N 835 implementation information.
• Train and assist Revenue Cycle staff on DAA and ERA detail in Epic as requested by management.
• Measures team member system gap time against timecard entries and downtime logs.
• Implements projects aligned with Revenue Cycle and executive leadership direction.
• Completes other duties and responsibilities as assigned by leadership.
• Serves as the intermediary with Cash Applications relationships with Bank of America, HealthLogic, and other Wellstar entities.
• Serves as the intermediary with the clearinghouse in relation to ERA payer files.
• Serves as the intermediary with HealthLogic to ensure high quality level of performance and intercede for prompt resolution.
• Serves as key liaison with Bank of America for insurance, patient, and correspondence lockboxes.
• Responsible for maintaining ERA payment file processing to include ERA CAS Reason Codes, ERA Payment File Definition, ERA Provider Level Adjustment Mapping, ERA Provider Level Adjustment Reasons, ERA Remark Codes and ERA Segment Matching Rules.
• Reviews payer volumes and availability of 835 files to determine implementation schedule.
• Responsible for working with clearinghouse and Wellstar Connect for new ERA posting templates.
• Responsible for testing new ERA payers and templates to ensure posting accuracy.
• Monitors ERA files for possible payer changes that would necessitate changes in the posting templates or posting procedures.
• Responsible for tracking changes made to ERA posting templates to include the addition of new carrier codes and plans.
• Responsible for testing and implementation of the new ERA payers.
• Responsible for coordination of documentation for requested deposits.
• Responsible for reviewing reported CAS code issues.
• Identify and complete payer Claims / ERA / EFT enrollments.
• Identify and complete needed LOB / RMO builds in relation to payer enrollments.
• Follow-up and tracking / reporting of payer enrollments.
• Monitors transition of ERA posting files from clearinghouse to Wellstar.
• Ensures timely resolution and completion of assigned Epic WQs.
• Responsible for reporting and balancing of Revenue Cycle deposits and postings.
• Responsible for the daily and monthly reconciliation reporting to include Cash Graph, Daily Deposit Log, monthly Cash Report detailing AR and Non-AR funds.
• Monthly reconciliation of Unposted and Undistributed cash, AR / Non-AR cash, and deposits in the Access database.
• Performs other duties as assigned.
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education : Bachelors Accounting-Preferred or Bachelors Business Administration / Management-Preferred or Bachelors Finance-Preferred

Required Minimum License(s) and Certification(s) : All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s) :

Required Minimum Experience : Minimum 4 years Four (4) years healthcare management experience Required and Minimum 4 years Four (4) years proven track record of successful performance management and progressive growth within the Revenue Cycle Required and Minimum 10 years Ten (10) years healthcare management experience in lieu of bachelors degree Required

Required Minimum Skills :