This position is located in Broomfield, CO and is responsible for reviewing and researching unidentified and undistributed payments that come in through cash deposits.
Resolution of Unidentified Accounts (Accounts containing payments in which the patient account cannot be immediately determined by information provided with check), undistributed payments and/or payment corrections.
Apply payments to satisfy outstanding balances after reviewing applicable documentation.
Use appropriate resources to find payment documentation. Verify payor remittance to apply payments properly.
Responsible for training new and existing associates for Payment Research. May assist with Payment Posting training as well.
Monitors Unidentified Accounts and proactively research, root cause underlying issue, and propose solutions to trends. Provide feedback to management and participates in the resolution of these specific problems.
Serves as a subject matter expert for the Cash Management Department and should have higher level interpersonal skills to be the liaison between Cash Research and Cash Posting teams.
Actively identifies opportunities for process improvement within the Cash Management Department. Creates documented workflows and tip sheets for use within the department.
Prioritize workload, effectively and efficiently manage Unidentified Accounts in order to make the most significant impact. Responsible for meeting productivity and quality goals.
Responsible for identifying and/or correcting posting errors with advance understanding of the Cash Management process and must be able to complete payment research and/or payment distribution on complex accounts or issues.
High School Dpl or Equivalent
3+ years of medical revenue cycle experience
Advanced understanding of insurance remits
Advanced proficiency of EPIC Resolute Hospital Billing, Payment Application and Emdeon.
Understanding of complete revenue cycle from patient charge entry to applying payment.
Proficient with MS Office programs including Word and Excel.
5+ years of experience
Hospital/physician billing or claims follow-up experience
Insurance denials and appeals experience
Payment posting experience