Credit Resolution & Cash Specialist - Full Time

Credit Resolution & Cash Specialist - Full Time

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 Accounts

Credit 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 TAX
• Hometown 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 Ladder* & HRSA Loan Repayment Program* (*for 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!!