Cash Application Specialist

3 weeks ago

Saco, United States Sweetser Full time

Becoming part of the Sweetser family means

you can make a difference

in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.
Receives and prepares cash receipts on a daily basis and posts cash receipts accurately to patient accounts or directly to the general ledger on the various software systems. The Cash Applications Specialist also communicates with customers and resolves conflicts.
ESSENTIAL FUNCTIONS:
Prepare and verify deposits and bring to the appropriate bank(s).
Prepares the deposit reports by maintaining proper recording of deposit information and notifying appropriate parties with deposit total(s).
Processes credit card transactions in accordance to type of business (e.g., patient accounts, donation or training) and ensuring appropriate department gets copy of correspondence (e.g. Development).
Post payments received via EFT, cash, check, or credit card on the appropriate customer account with batch settlement procedures.
Identify and resolve any payment discrepancies, and if necessary, record un-posted amounts to outstanding cash receipt log.
Interprets and posts denial transaction codes as defined by the payer and provider organization to ensure the timely and accurate routing of denial follow-up and appeal activities.
Performs calculation of co-insurance and deductible percentages as needed based on the level of detail provided by the third party payer remittance including moving the appropriate amount to next payer.
Performs research on a routine basis to determine the appropriate posting account for unidentified payments receive by the payer or patient which, includes but is not limited to, contacting third party payers and/or patients to inquire on correct payment account.
Performs research on bundled payments to determine the payment associated with the appropriate service procedures while ensuring balancing across all systems involved.
Performs payment transfer for undistributed self-pay payments to open self-pay accounts.
Performs billing to secondary billing source with copy of explanation of benefits (EBO) from primary payer source.
Conducts scanning and/or copying functions in conjunction with document storing and balancing.
Places all logs and reports together by day to be checked for accuracy.
Abides by all month-end closing procedures.
Provide excellent and considerate customer service internally and externally.
GENERAL EXPECTATIONS:
Be committed to the mission, vision, and values of the organization.
Work collaboratively as a member of a team with various groups of staff, depending on the issue addressed.
Assure quality in work performed to facilitate the delivery of quality services.
Reports accidents and injuries in a timely fashion, demonstrates safe housekeeping practices, notifies supervisor of
potential health and safety concerns immediately, participates in health and safety training as required, understands
and follows all Sweetser health and safety policies.
Maintains professional and technical knowledge by attending educational workshops and reviewing
professional publications.
Fulfills job function by participating as an active member in all training and participating on organization task forces.
Ability to support and recognize the important role volunteers play. Sweetser employees work with, support, collaborate with volunteers, and promote opportunities for volunteer engagement
Follow Suicide safer care practices.
Perform all other duties as assigned.
EDUCATION:
High school diploma required.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Maintain a valid state drivers license
EXPERIENCE:
Minimum of one (1) year experience in cash receipts/cash application; experience in the health care industry preferred.
Experience with computerized billing systems, spreadsheets and word processing.
KNOWLEDGE AND SKILLS:
Proficient in Microsoft Office Products with experience in Great Plains a plus.
Excellent verbal and written communication skills.
Attention to detail and accuracy are critical skills.
Working knowledge of healthcare payer Explanation of Benefits.

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