Position Overview: Cash Application Specialists are responsible for the overall payment posting for their assigned territory. This includes posting payments, denials, and correspondence; weekly & monthly reconciliation; timely adjustments; writing refunds; and balancing 100% to daily cash logs.

Responsibilities:

• Post payments and correspondence received from patients and insurance carriers for assigned centers.
• Assess insurance carrier explanation of benefits (EOBs) for in and out of network services to identify correct payment allocations or denial reasons.
• Post adjustments, transfers, and refunds based on contractual agreements.
• Post zero payment remits, offset remits, and retractions.
• Review all items classified as unidentifiable and resolve through contacting the payers and posting to the appropriate account.
• Balance 100% to Deposit Log and Software Application. Locate Variances and correct as soon as possible.
• Review and resolve credit balance accounts through refunds, retraction request, or adjustments.
• Upload Daily Patient Statements to Clearinghouse.
• Take incoming patient calls to resolve outstanding balances.
• Identify and report payer trend issues to manager.
• Provide coverage for team members as assigned.
• Additional duties as assigned.

Requirements:

• 2+ years of ASC revenue cycle or orthopedic payment posting or collections experience.

• Ability to read and interpret insurance explanations of benefits and managed care contracts.

• Intermediate computer proficiency in Microsoft Office including Excel and Outlook

• Advantx, Vision, HST experience preferred.

• High School Diploma or equivalent.

• The ability to communicate effectively, both verbally and in writing, with internal and external clients.

• Knowledge or experience working with a variety of health care insurance payers is preferred

Required Skills

Required Experience