Cash Poster - Payment Posting - Hospital Claims - Healthcare

Guidehouse • San Marcos, CA

52d • $38,000 - $63,000 • Hybrid

About The Position

The Cash Applications Specialist - Under general supervision and according to established policies and procedures, performs a variety of duties related to the payment posting function of the Management Services Organization (MSO). Such duties may include, but are not limited to, the following: 1) Processes and/or posts deposits, payments, denials, and adjustments. 2) Reconciles manual and electronic batches, 3) Performs other duties as assigned by direct supervisors. This position will be on a hybrid schedule working two days in the San Marcos, CA office and three days from home. Essential Job Functions Must be self-directed / self-motivated; and have good communication and interpersonal skills. Must be able to perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure. Accept responsibility for the direction, control and planning of one's own work. Work independently. Recognize the rights and responsibilities of patient confidentiality. Convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief. Relate to others in a manner which creates a sense of teamwork and cooperation. Communicate effectively with people from every socioeconomic, cultural and educational background. Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment. Perform effectively when confronted with emergency, critical, unusual or dangerous situations. Demonstrate the quality work ethic of doing the right thing the right way. Maintain a customer focus and strive to satisfy the customer's perceived needs.

Requirements

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.
• 0-2+ year's experience in office, business, operations, customer service or healthcare field.

Nice To Haves

• 6+ months of payment posting experience
• One to three years of related experience and general knowledge of payor-specific or medical specialty reimbursement.
• Knowledge of CPT and ICD-9/10 coding.

Responsibilities

• Payment prep and posting.
• Sign out for payment batch on batch log with time received.
• Prep payment batch before keying by identifying and circling invoices. Separate payments by groups.
• Follow protocol for posting payments, denials, and adjustments to invoices in all groups.
• Balance all groups back to batch total.
• Sign batch back in on payment batch log with time completed.
• Research payments.
• Payments requiring additional information should be pulled out from the batch for research. If the pullout is not resolved in two business days it should be given to the Supervisor for follow up.
• Research payments posted to unapplied invoices to identify location to refund.
• Verify with the Lead or Supervisor before putting payments on an unapplied invoice.
• Review of statements.
• Review billing statements in lockboxes for address corrections and credit card payments.
• Review workers compensation folders for remittances that need prepping for imaging.
• Post and review special projects.
• Records maintenance.
• Assist opening mail when needed.
• Maintain and shred lockbox statements, Viva remits and commercial remittance backup after six months.
• Perform other duties as requested by Supervisor or Manager.

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees