Payment/Cash Processing Representative

Perform billing and follow up on all accounts receivable whether debit or credit for primary and secondary balances on the system software until balances are resolved. Accurately prepare adjustment transactions for posting to account receivables.

• Correctly submit and follow up in a timely manner on all assigned receivables including all adjusted claim balances.
• Correctly submit claims through electronic billing software maintaining up to date knowledge of payer requirements, regulations and contracts as well CPT 4 codes, HCPC codes, ICD 9 coding, DRG, APC, Per Diem and fee schedule type reimbursement.
• Maintain up to date knowledge of all related business systems including edits, updates, down loads as well as identifying system problems or malfunctions that effect daily work processing including any payer websites or external software programs.
• Prepare cash, receive payments and write receipts for account receivables as well as general ledger.
• Post all appropriate transactions to including allowances, adjustments and rejections to the appropriate patient account system as well as monitor unapplied cash accounts, input, refunds and transfers.
• Open and route all mail items to the correct department or individuals for handling.
• Maintain current in changes to HIPPA and compliance related regulations as they pertain to daily job functions.

Regulatory Requirements:

• One year related experience and/or training, or equivalent combination of education and experience.
• High School diploma or GED required.