Cash Application Representative II

The Cash Application Rep II will be responsible to post payments and make adjustments to patient accounts. H/She will maintain records in filing system, document activities and contacts in system. Will develop understanding of assigned managed care contractor and payor requirements. Will process self-pay refunds.

• Receive electronic and hard copy payment batches from payers; review documents for proper authorizations prior to posting; allocate and post payments to correct accounts.

• Process prepared requests for contractual adjustments and denials based on codes.

• Process inter-company transfers.

• Re-establish reimbursement paid in error and accounts receivable; identify and correct credit balances resulting from double payments.

• Based on payer requirements and department practices, determine amount to bill from parent/ guarantor.

• Recommend write-off amounts to manager for decision-making.

• Analyze overpayments and credit balances.

• Based on guidelines and contractual requirements, recommend refunds to manager for approval.

• Record all check numbers received from the bank into an Excel spreadsheet daily.

• Reconcile batch amounts with posting process.

• Evaluate late charges for accuracy and enter late charges into an Excel spreadsheet daily.

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

• Anticipate and responds to customer needs; follows up until needs are met

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

• Use resources efficiently

• Search for less costly ways of doing things

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance