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Senior Cash Applications Representative

4 months ago

Phoenix, United States Sonora Quest Full time

Primary City/State:

Phoenix, Arizona

Department Name:

PFS Cash Applications

Work Shift:

Varied

Job Category:

Revenue Cycle

POSITION SUMMARY
Responsible for the interpretation and accurate posting of all third-party/government payers’ payments, denials, and adjustments, as well as all patient and client payments. Also documents and reports payment issues and assists in payment issue resolution. Must have the ability to review and analyze all insurance explanations of benefits/payments and electronic remittance advices. Coordinates and facilitates account refunds, complex adjustments, and collection accounts. Researches and reconciles unapplied and/or missing payments. Requires the ability to interact with all levels of personnel and management.

CORE FUNCTIONS
1. Reviews and analyzes payer remittance advices, in order to report trends to management, as well as collaborate and meet with third-party/government reimbursement, as necessary, to facilitate resolution to outstanding payment issues requiring higher-level intervention.

2.Evaluate payer remits and denials for accurate posting and potential transfers to patient receivables. Evaluate accuracy of reimbursement relative to contractual requirements. Determines adjustment, corrections, or patient liability.

3.Reviews, evaluates, and posts all payments, denials and adjustments from manual and electronic insurance remittance advices, as well as client and patient payments in an accurate and timely manner in accordance with departmental policies, procedures and performance goals.

4.Researches and resolves missing, misdirected, and unidentified payments, as well as prepaid accounts. Coordinates transfers of misdirected payments to Quest Diagnostics Business Units.

5.Interprets and resolves written correspondence involving payment transfers, adjustments, credit balances, refunds and collection accounts. Documents requests for outside Collection agency.

6.Assist in Internal Audits and comply with checks and balances in accordance with departmental policies, procedures, generally accepted basic accounting principles and practices and all applicable laws and regulations.

MINIMUM QUALIFICATIONS

  • Associate’s degree involving math/bookkeeping courses or two years experience as a Cash Applications Representative or two years equivalent work experience in insurance and/or government billing involving math/bookkeeping skills.
  • Accurate typing skills of 30 wpm and 6500 10-keystrokes per hour are essential.
  • Ability to work independently and accurately with high volumes of data and minimal supervision.
  • Excellent written, verbal and organizational skills.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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