RCM QA Specialist - Cash Posting
About The Position
This role is for a highly motivated Quality Review Specialist who can understand and perform responsibilities in conjunction with internal and external customers via phone, software applications, and email. The specialist will be responsible for accurate posting of payments from multiple sources for multiple clients, reconciling deposits, and resolving complex discrepancies. They will also locate and upload payment remittance advice (RA), review RA for appropriate payments, adjustments, balance transfers, and recoupments, and assist with special projects and report compilation. Additionally, the role involves responding to inquiries regarding payments and reconciliation, performing quality reviews on cash posting transactions, making procedure recommendations, and updating procedure documents for optimal performance. The specialist will communicate and collaborate with clients and cross-functional departments to identify potential risks and solutions for performance improvement, identify process deficiencies through analysis and trends, and identify training needs, provide education, and assist in implementing procedure changes. They will ensure SLAs and quality of work thresholds are maintained, drive change through collaboration, influence, and partnerships, and manage workload to complete assignments timely. Other tasks and responsibilities may be assigned.
Requirements
- High school education required.
- Previous EOB and ERN Cash Posting Experience.
- Must be a self-starter who can troubleshoot challenges on the fly.
- Excellent written communication skills for documenting notes in the clients’ system.
- Must be able to multitask and work within multiple client databases.
- Must be detail oriented and able to work independently and complete tasks in a timely manner.
- Strong computer skills, including Microsoft Office and databases.
Nice To Haves
- Associate’s or Bachelor’s degree a plus.
- DME/Respiratory or Enteral experience.
- Brightree experience a plus.
Responsibilities
- Accurate posting of payments received from multiple sources for multiple clients.
- Reconciling deposits and resolving complex discrepancies.
- Locating and uploading payment remittance advice (RA).
- Reviewing remittance advice to assure appropriate payments, adjustments, balance transfers and recoupments are completed accurately.
- Assists with special projects and compiles reports.
- Responds to inquiries regarding payments and reconciliation.
- Performs quality review on cash posting transactions to assure completed accurately, and according to the procedures established.
- Makes procedure recommendations and updates procedure documents for optimal performance.
- Communicates and works with clients and cross-functional departments to identify potential risks and solutions for performance improvement.
- Identifies potential deficiencies in processes via analysis and trends.
- Identifies training needs, provides education, and assists in implementation of procedure changes.
- Assures SLA’s and quality of work thresholds are maintained.
- Drives change through collaboration, influence, and partnerships.
- Manages workload and completes assignments timely.
- Other tasks and responsibilities as assigned.
Benefits
- comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance.
- Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days.
- eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
