Children's National Hospital is Hiring a Cash Applications Rep - CNPA Silver Spring Near Silver Spring, MD
The Cash Applications Representative (CNPA) will be responsible for posting payments and adjustments to patient accounts. Maintain records in filing system. Document activities and contacts in systems. Develop understanding of assigned managed care contracts and payer requirements.
Our ideal candidate will have a minimum of 1 year of healthcare revenue cycle experience, preferably focused on posting insurance and patient payments, working bank lockboxes, reading and understanding insurance Explanation of Benefits (EOBs) documents, applying insurance recoupments, and performing cash posting reconciliation procedures as it relates to healthcare payment posting. Qualifications: Minimum Education High School Diploma or GED (Required) Minimum Work Experience 2 years Related Medical Office/Finance/Cashier. (Required) Functional Accountabilities Payment Posting
Accurately post payments to the correct account and correct line item.
Apply payments to accounts from electronic remittance and lockbox payments.
Apply payments from payer email notices as assigned by Team Leader and CBO credit card transactions.
Adjustment and Recoupment Posting
Post contractual adjustments from payer remittance advice or correspondence.
Post remark codes for payer denials.
Document check number and/or EOB location for low or no payment transactions (e.g., deductible).
Complete payer recoupment requests and document account with reason and check number.
Overpayment/ Credit Balance/ Reconcilation
Notify Team Leader of payments with unidentified or no documentation (unidentified cash posted).
Completely document origin of transactions that create unidentified credits.
Resolve credit balance as assigned by Team Leader/Manager.
Reconcile batch amounts with posting process and journal.
Research
Develop detailed knowledge of internal systems to research cash posting inquires.
Document actions in system include research findings, write-offs, credit balances, and transfers.
Program Knowledge
Understand managed care contracting requirements and apply principles to cash posting.
Develop detailed understanding of state/federal assistance programs, e.g., Medicaid.
Keep current with federal and state regulations surrounding cash posting.