Cash Application Specialist - 3rd Party

Description

• Process and post payments accurately, meeting all deadlines across various lines of business.
• Conduct research to accurately allocate unidentified payments, coordinating with internal teams to ensure funds are appropriately applied.
• Manage overpayment notifications and processes, ensuring prompt communication with relevant parties.
• Process additional insurance payments for copay reimbursement.
• Follow up on rejected or denied claims per remittance.
• Identify overpayments and notify collectors or accounts receivable representatives in order to immediately refund government payors and notify third party payors, Facilities and Private Pay customers of over payment.
• Copy or communicate documentation or information required to bill secondary payors to billing representatives or accounts receivable representatives.
• Complete all weekly/monthly reports according to schedule.
• Process Adjustments and write off’s as needed for patient accounts.
• Handle documentation for billing secondary payors and process patient refunds.
• Contribute to our team by completing regular reports, participating in special projects, and aiming to exceed department goals in volume, production, quality, and customer service.
• Maintain the highest standards of confidentiality in compliance with HIPAA and adhere to all company policies.

• A high school graduate or equivalent is required.
• Proficient in Excel, Word, and Outlook
• Have general knowledge and understanding of billing rules is desired.
• Experienced in medical billing or posting, with at least 2 years experience is desired (Experience in LTC pharmacy billing is a plus!)
• A reconciliation pro, with a knack for detailed work.
• A team player who values customer focus, eager to meet and exceed expectations, and adept at building trust and respect with both internal and external customers.