Business Office Lead

1 month ago

Sarasota, United States SSC - Sarasota Full time
Essential Duties:

  • Assist cash services specialists as needed based on daily volume
  • Serve as an example to the Cash Services Specialist
  • Assist the Cash Services Leadership with assignments and functions within the department
  • Process all payments and adjustments received in an accurate and timely manner
  • Post all payments received through the lockbox or mailroom and adjustments as identified by insurance explanation of benefits
  • Write up all payments on cash receipts log for payments that need to be uploaded
  • Write up all adjustments that need to be uploaded on an adjustment log and submit for approval
  • Correct payment posting errors
  • Balances posted payments before leaving each day
  • Submits required paperwork (journal, batch out, batch cover sheets) daily
  • Works to identify and resolve payment posting issues
  • Works credit report as time permits
  • Works the unapplied report as time permits
  • Consistently meets metric of posting 2,700 line items per month (excluding electronic payments)
  • Maintains a 98% accuracy rate
  • Completes ClaimIQ requests within 72 hours
  • Researches and transfers payments in Unidentified within 14 days
  • Maintains knowledge of the transaction codes and proper utilization
  • Ensure confidentiality of all patient accounts by following HIPAA guidelines
  • Adheres to compliance of CMS and other payor guidelines
  • Responsible for being aware of the current department policies and procedures
  • Meet or exceed quality and quantity benchmark targets as established by management (productivity, AR days, Cash Collections, Bad Debt, Past Due Follow Up)
  • Communicate daily with management on payor trends identified
  • Attend in-services, education sessions and department meetings as scheduled
  • Working knowledge of all software systems involved such DAR, Pulse, ClaimIQ and Scanning platform
  • Performs other duties as assigned
Requirements:
  • High school diploma
  • 1 year of Cash experience in a medical setting required

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