Overview

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward – always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.

The Cash Application Representative is responsible for the Posting, Reconsideration, and Adjustment of all payment types to the Concentra Practice Management system in a timely and accurate manner. Maintain posting level per company policy.

Responsibilities

• Apply payments to appropriate accounts, such as: Workers Compensation; Patient/Private/ Group Health (Cash & Credit Card) and Employer/Contract
• Transfer payments to other Central Business Offices
• Apply Zero pay EOBs and appropriate reasons for Zero pay
• Ensure payments are recorded in an accurate and timely manner
• Manually post daily cash assignments
• Post cash and adjustments per remittance or Explanation of Benefit (EOB)
• Read and interpret EOBs, balancing, and resolving posting errors
• Balance daily posting against internal control totals
• Manage unidentified cash, or payments received with no back-up
• Post 100% denials or short paid charges
• Post and balance payments received through the mail from patients, customers, and insurance companies
• Post all receipts ensuring the totals match the check total amount
• Close daily payments and batches
• Identify daily EOBs needing reconsideration
• Prepare and disburse all daily Reconsiderations to appropriate Carrier/TPA (CBOs who currently combine the duties of Cash Posting and Reconsideration process)
• Identify EOBs in need of Reconsideration, copy and distribute to appropriate department (CBOs who do not currently combine Cash Posting and Reconsideration process)
• Maintain Status Report (CBOs who currently combine the duties of Cash Posting and Reconsideration process)
• Identify incorrect payments and billing due to various changes (i.e., address change, pricing, etc.)
• Submit Employer/Contract changes for verification according to the customer service package
• Escalate issues preventing accurate cash application to leadership
• Apply appropriate Worker Compensation adjustments, Focus, First Health, CCN, Contractual, etc.
• Apply appropriate Employer (Contract) adjustments, Customer Service, Price etc.
• File monthly batches
• Ensure adjustment requests have proper supporting documentation
• Meet or exceed departmental productivity standards
• Meet all monthly, quarterly, and year-end close deadlines as they relate to cash application duties

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Qualifications

• High school diploma or GED equivalent
• Specialty training in medical billing and posting preferred

Job-Related Experience

• Customarily has at least six months of demonstrated medical revenue cycle experience

Job-Related Skills/Competencies

• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Familiarity with Microsoft Excel, Outlook, Word
• Ability to communicate effectively
• Excellent time management skills
• Excellent writing and documentation skills
• Strong attention to detail
• Ability to operate 10-key numeric pad by touch
• Ability to work under tight time schedules
• Requires outstanding decision making and excellent problem-solving skills
• Ability to successfully aid in all areas of training and staff development
• Ability to work independently as well as a team player
• Ability to handle multiple tasks, projects, duties, and priorities