Cash Applications Representative/Refunds

Illinois Bone and Joint Institute LLC•Park Ridge, IL

46d

About The Position

The cash application specialist will ensure all patient and insurance payments are posted accurately, will resolve any discrepancies and identify valid insurance credits/refunds.

Requirements

High School graduate or equivalent required
Minimum 3 years’ experience in healthcare revenue cycle, specifically payment posting and cash reconciliation
Ability to interpret Explanation of Benefits (EOBs), all ANSI codes and Provider Level Balance (PLB) adjustments.
Knowledge of Healthcare (professional) billing, CPT/ICD-10 coding, medical terminology, Medicare, Medicaid, HMO/PPO/EPO, Work Comp and Commercial insurance guidelines
Excellent organization skills, high attention to detail and proficiency in account management
Results oriented with a proven track record of accomplishing tasks within a high- performing team environment
Strong computer literacy skills including proficiency in Microsoft Excel
High proficiency in Electronic Medical Records (EMR)(Epic Preferred)
Adheres to organizational policies and procedures, including Corporate Compliance Program and HIPAA regulations

Responsibilities

Post payments received via ACH, credit card and lockboxes to corresponding patient accounts
Efficiently research, analyze, and post Electronic Remittance Files (ERAs/835s) and Explanation of Benefits (EOBs)
Contact payers via phone, mail and payer portals to resolve outstanding credits or to locate patient information
Ensure successful month end closing and reconciliation
Post and allocate payments in multiple EMR tools for several entities of IBJI
Correct and escalate any payment posting discrepancies accordingly
Efficiently resolve unapplied payments and refund inquiries in Epic workqueues
Participate in projects designed to improve cash application processes or procedures
Identify trends and escalate them to the corresponding third party
Meet all set performance requirements for both quality and productivity
Establish and maintain a positive relationship with other departments