Business Office Lead - Cash Refunds

Essential Duties:

• Assist cash services specialists as needed based on daily volume
• Serve as an example to the Cash Services Specialist
• Assist the Cash Services Leadership with assignments and functions within the department
• Process all payments and adjustments received in an accurate and timely manner
• Post all payments received through the lockbox or mailroom and adjustments as identified by insurance explanation of benefits
• Write up all payments on cash receipts log for payments that need to be uploaded
• Write up all adjustments that need to be uploaded on an adjustment log and submit for approval
• Correct payment posting errors
• Balances posted payments before leaving each day
• Submits required paperwork (journal, batch out, batch cover sheets) daily
• Works to identify and resolve payment posting issues
• Works credit report as time permits
• Works the unapplied report as time permits
• Consistently meets metric of posting 2,700 line items per month (excluding electronic payments)
• Maintains a 98% accuracy rate
• Completes ClaimIQ requests within 72 hours
• Researches and transfers payments in Unidentified within 14 days
• Maintains knowledge of the transaction codes and proper utilization
• Ensure confidentiality of all patient accounts by following HIPAA guidelines
• Adheres to compliance of CMS and other payor guidelines
• Responsible for being aware of the current department policies and procedures
• Meet or exceed quality and quantity benchmark targets as established by management (productivity, AR days, Cash Collections, Bad Debt, Past Due Follow Up)
• Communicate daily with management on payor trends identified
• Attend in-services, education sessions and department meetings as scheduled
• Working knowledge of all software systems involved such DAR, Pulse, ClaimIQ and Scanning platform
• Performs other duties as assigned

Requirements:

• High school diploma
• 1 year of Cash experience in a medical setting required