Overview

The Cash Posting Specialist works as part of a central Revenue Cycle team to process insurance payments and is responsible for reconciling deposits, posting payments and recoupments, and managing patient accounts. The Cash Posting Specialist ensures accurate posting of ANSI codes from remits to ensure proper work queue routing and required billing data elements to ensure an accurate accounting processed for payment and revenue reporting.

Responsibilities

Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):

Primary Accountabilities:

· Prepare and post insurance payments via 835, includes resolving any errors.

· Hand Key remittances if 835 is unavailable or not applicable to payor.

· Register with all necessary payor portals and submit all required verification documents for access.

· Retrieve and post remittances from payor websites when remittance is not available.

· Verify and add coverage for any payments received on crossover payment not on the patient account.

· Post all payments accurately within 72 hours.

· Research unidentified payments and/or recoupments to determine appropriate resolution.

· Update and maintain cash management, logs and/or spreadsheets used for reconciliation.

· Process payments from insurances and prepares a daily deposit if needed.

· Prepare required accounts payable paperwork for insurance refunds.

· Post refund checks issued by accounts payable when necessary.

· Review of credit work queues to ensure accurate posting and validation of insurance credits or undistributed credits.

· Follow and report status of missing payments or remits both electronic and manual.

· Identify and report patterns and trends that indicate a potential issue.

· May assist in denials management as directed.

· Participate in educational activities and attends monthly staff meetings.

· Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.

· Demonstrate a willingness to be an active participant in initiatives that have fundamental impact on the organization.

· Performs any other duties as needed to drive the vision, fulfill the mission, and abide by the values of this organization.

Knowledge/Skills/Abilities:

· Knowledge of insurance ANSI/CAS Codes.

· Knowledge of medical billing/collection practices.

· Knowledge of computer programs.

· Knowledge of Medicaid and Commercial payers.

· Knowledge of medical computer software, including Electronic Medical Records (EMR).

· Knowledge of basic medical coding and third-party operating procedures and practices.

· Ability to operate a computer, computer programs, and basic office equipment including a multi-line telephone system.

· Ability to read, understand and comprehend the CPT, ICD 10 and HCPCS manual.

· Ability to read, understand and follow oral and written instructions.

· Ability to establish and maintain effective working relationships with patients, employees, and management.

· Must be well organized and detail oriented.

· Cooperative work attitude towards co-employees, management, patients, visitors, and physicians.

· Ability to promote favorable company image with physicians, patients, insurance companies, and the public.

· Ability to make decisions and solve problems.

· Ability to follow instructions and to meet deadlines.

· Requires excellent communication skills with attention to detail and timeliness.

· Maintain regular and predictable attendance.

· Promptly identify issues and develop action plans for resolution with supervisor.

· Uses organizational resources appropriately and avoids wasteful practices.

Qualifications

MINIMUM EDUCATION: High School Diploma or GED

MINIMUM EXPERIENCE: 2 years in billing