Job Description
Job Description
Credit Resolution & Cash Specialist - Full Time (NOT REMOTE)
POSITION SUMMARY :
- Post reimbursements from insurance companies and guarantors for all CVH service lines.
- Performs payment and adjustment posting both electronically and manually.
- Responsible for daily scanning of batches as applicable.
- Processes and applies of all daily cash receipts, non-cash transactions, A / R adjustments, denials, write offs, and refunds.
- Reviews and makes appropriate adjustments to all postings in both HB and PB Clearing Accounts.
- Performs miscellaneous job related duties as requested.
POSITION REQUIREMENTS :
Minimum Education
High School Diploma or equivalent.Minimum Work Experience Required :
Minimum one year recent experience in an accounting related environment.Knowledge in EOBs and Remittance Advices.Typing and computer literacy.Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.Reading and writing skills, organizing and filing, professional phone etiquette.Minimum Work Experience Preferred :
In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred.Knowledge of CMS 1500 / UB billing preferred.Knowledge of the physician practice and hospital revenue cycle preferred.2 years prior experience in healthcare billing office, with knowledge in government and third party payor requirements preferred.POSITION ESSENTIAL FUNCTIONS :
Deposits
Organize receivables into posting batches ensuring batches balance with daily posting.Prepares daily bank deposit, ensuring deposit is ready for pick up.Retrieves electronic deposit and credits accounts as needed.Creates posting batches, forwards to scanning and data entry according to procedure.Posts contractual adjustments as dictated by RA's and EOB's, ensuring compliance with fee schedules and contracts.Responsible to completing daily adjustment reports, resolving missed and over adjustments and forwarding credits for refund as necessary.Researches and resolves any check concerns to include returned check, unidentified checks and duplications.Debits and credits "take-back" accounts until resolved, ensuring accuracy and timeliness.Posts bad debt payment and adjustments as required ensuring accounts are balanced and posts all write-offs and adjustments as requested by manager.Reviews and makes appropriate adjustments to all postings in both HB and PB Clearing AccountsCredit Resolution
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.Audit denials and payment variances to determine root cause and correction as required.Auditing payment variances ensuring appropriate reimbursement.Provide contract knowledge to ensure maximum reimbursement of healthcare claims.Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.Maintain a current knowledge of CPT / HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.Returns Phone calls in a timely manner.Relays messages to appropriate staff members.BENEFITS : If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAXHometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.Vanguard 401(k) with match.Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).Employer Paid Basic Life and AD&D insurance.Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).Earned Time Off, Sick Leave and Paid Holidays.Nevada 529 College Fund.Unum Employee Assistance Program.Employer paid Credit monitoring and Identity Theft Program through CyberScout.Tuition Reimbursement, Clinical LadderHRSA Loan Repayment Programfor qualifying positions).Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months .Paid Volunteer Hours for staff to help in the community.and More...CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022 & 2024!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Monday through Friday 8 : 00-4 : 30PM.
