Cash Receivable Specialist

Signature Performance, Inc.•,

About The Position

The Cash Receivable Specialist researches and evaluates claims for proper reimbursement and works with third-party payers to support maximum collections. The role processes payments from sources including checks, electronic payments, and insurance and patient remittances; reconciles accounts and cash reports; makes patient-account adjustments and processes refunds; and reviews insurance Explanations of Benefits (EOBs) to understand payments, adjustments, and denials. The specialist researches and corrects posting errors, notifies appropriate staff about payment issues and trends, generates payment-posting and reconciliation reports, and works with billing and financial department colleagues to resolve account-balance questions. The role also supplies management with information about payer trends affecting claims adjudication, maintains expertise in multiple current client systems, keeps up to date on revenue cycle management and industry trends, protects patient confidentiality in accordance with HIPAA, and performs other duties as needed. The position requires participation in revenue cycle training and effective teamwork.

Requirements

At least 2 years of healthcare revenue cycle experience in a physician office, hospital, or insurance-plan claim-processing unit.
General knowledge of CPT/HCPCS and ICD-10 coding requirements.
Strong attention to detail and outstanding written and verbal communication skills.
Computer proficiency, including Microsoft Office, Word, Excel, and Outlook.
Ability to function effectively in a fast-paced environment.
High commitment, motivation, energy, and team orientation, along with professionalism, trust, honesty, and integrity.
U.S. citizenship or naturalized citizenship is required.
All work must be completed in the continental United States, Alaska, or Hawaii.
Candidates must participate in interviews with their camera enabled; interviews may be recorded, with consent and notice as described in the posting.

Responsibilities

Research and evaluate claims for proper reimbursement and work with third-party payers to support maximum collections.
Accurately post payments from checks, electronic payments, and insurance-company and patient remittances into the billing system.
Reconcile accounts, balance cash reports, and ensure collected cash is recorded and balanced accurately.
Adjust patient accounts, process refunds for overpayments, and reconcile outstanding balances.
Review and interpret insurance Explanations of Benefits (EOBs), including payment details, adjustments, and denials.
Research and correct posting errors, and notify appropriate staff about payment issues and trends.
Generate reports related to payment posting, reconciliation, and cash balancing.
Collaborate with billing and financial department colleagues and respond to account-balance requests.
Maintain patient-record confidentiality and follow HIPAA guidelines.
Provide management with data on payer trends in claims adjudication that affect claim payments.
Maintain expertise in multiple current client systems and current knowledge of revenue cycle management and industry trends.
Participate in revenue cycle training, act as an effective team member, and perform other duties as necessary.