Southwestern Healthcare is currently seeking a Full-Time Cash Applications – Payment Posting professionalto add to our team.This position works at our downtown office during regular business hours of Monday – Friday 8AM – 5PM.
WHY WORK FOR SOUTHWESTERN?
AFFORDABLE Health, Dental, Vision, and Voluntary Life Insurance that starts DAY ONE OF EMPLOYMENT!
401K Employer Contribution & Match
Student Loan Assistance Program
Physical & Financial Wellness Programs
Generous Paid Time Off Plan
Competitive Total Compensation Program
On-site training available for qualified candidates
We are GROWING!!
WHAT IS THIS POSITION RESPONSIBLE FOR?
Review aging reports specific to credit balances to identify overpaid accounts across multiple payers. Responsible for identifying and processing refunds for both patient and insurance companies. Call the payer to discuss erroneous refund requests or notify the payer of intent to appeal refund request to suspend the recoupment process.
Billing and account activities that will maximize reimbursement and promote prompt payment. Resolves routine patient billing inquiries and problems. Follows up on balances past due from insurance companies and patients. Reads and interprets transactional data within patient accounts.
Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems. Understands and resolves payer edits and/or rejections.
Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations.
Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
Performs electronic eligibility confirmation when applicable and documents results.
