Cash Applications Specialist-Journal Center

TriCore

  • Albuquerque, NM
  • Permanent
  • Full-time
  • 8 days ago
Scheduled Shift: Monday - Friday 0800 - 1630 w/ 30 min lunch break and other shifts as needed.Location: Journal CenterJOB SUMMARY:Process high volumes of transactions and remittances to patient accounts. Analyze patient accounts for credit balances, research debit/credit adjustments from department (i.e. bad debt, test adjustments). Responsible for researching all payment posting issues and concerns. Exercises independent judgment, self-motivation, and problem- solving abilities in performing all assigned duties.ESSENTIAL FUNCTIONS: * Download, balance, and post electronic payments. Manually post commercial and patient payments, adjustments, denials, reverse non-allowances and reschedule accounts.
  • Post line-item payments and adjustments to patient accounts with accuracy and sense of urgency upon receipt.
  • Calculate/Post contractual adjustments or other adjustments, post insurance message codes and if there is a balance, change to the next appropriate payor.
  • Work remit errors.
  • Work open batch report.
  • Analyze any/all credit balances to accounts to determine if/when refunds should apply for processing.
  • Research and resolve identified refunds, as necessary, to insurance companies or patients in a timely manner.
  • Research unidentified cash by requesting assistance from payor via telephone or written correspondence. Utilize on-line insurance resources to obtain and maintain current information.
  • Meet performance metric goals established by management.
  • Communicate effectively and professionally to all customers (internal and external.)
MINIMUM EDUCATION:
  • High school diploma or equivalent.
MINIMUM EXPERIENCE:Must meet one of the following:
  • Six (6) Months experience as a Cash Applications Apprentice.
  • One (1) year relevant medical collections experience.
OTHER REQUIREMENTS:
  • 10-key at 7000 keystrokes per hour.
  • Minimum of 2 years of work experience in a Cash Application role.
  • Must pass a criminal background check.
  • Knowledge of patient accounting information systems.
  • Demonstrated strengths in organizational, attention-to-detail, follow-through, sound reasoning, critical thinking and problem-solving skills.
PREFERENCES:
  • Payment posting in a medical environment.

TriCore