Pharmacy Cash Applications Specialist (64604)

United Digestive • Atlanta, GA

20d • Onsite

About The Position

United Digestive’s Cash Applications Specialist is responsible for reviewing and reconciling claims with payments for healthcare services rendered.

Requirements

• High School Diploma or GED required.
• A minimum of 5 years’ experience in healthcare payment posting and accounts receivable follow-up; or a combination of education, training, and experience in a healthcare business office environment.
• General math skills and proficiency using a 10-key calculator are required.
• Must have knowledge of Medicare/Medicaid, Blue Cross and United Healthcare payment methods, rules, and regulations along with the billing and payment forms associated with all insurances.
• Must have experience with computer and business software programs including EXCEL and Microsoft Office.
• Display a professional outgoing warm and helpful attitude
• Provide a high level of customer service
• Communicate effectively with other employees and patients regarding the details of the different insurance payment methods and associated allowances.
• Communicate clearly with patients and coworkers through telephone, email, and in-person
• Plan, prioritize, and complete multiple tasks as delegated by the Revenue Cycle Manager
• Detail oriented and possess strong time management skills to manage multiple priorities
• Work under pressure, assess, respond, and communicate issues in a timely manner
• Maintain composure and set a professional example to patients and coworkers
• Requires sitting and standing associated with a normal office environment, travel as business needs dictate.

Nice To Haves

• Pharmacy or Infusion Medication experience

Responsibilities

• Reconciling posted checks received with checks deposited
• Processing write-offs in accordance with Federal/State regulations and/or company policy
• Post debits and credits to practice management system in accordance with insurance explanation of benefits (EOB)
• Investigate variances between logs and posting, reporting root causes to management.
• Investigate payments categorized as issued but not yet posted to the practice management system.
• Partner with billing, A/R, and collections teams to improve processes and resolve payment issues.
• Partner with Payer Relations to resolve payor setup issues.
• Partner with Finance to ensure reconciliation is carried out from the PM system through the financial systems.
• Communicate effectively with other employees and patients regarding the details of the different insurance payment methods and associated allowances.
• Follow all company policies and payer regulations to maintain accuracy and protect patient data.
• Productivity based assignments to be completed within period assigned
• May be required to work occasional overtime
• Performs other duties and special projects as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED