Business Office Lead - Cash Refunds

Job Description

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