Job Family:
Patient Account Representative
Travel Required:
None
Clearance Required:
None
What You Will Do:
The Cash Applications Specialist - Under general supervision and according to established policies and procedures, performs a variety of duties related to the payment posting function of the Management Services Organization (MSO). Such duties may include, but are not limited to, the following: 1) Processes and/or posts deposits, payments, denials, and adjustments. 2) Reconciles manual and electronic batches, 3) Performs other duties as assigned by direct supervisors.
This position will be on a hybrid schedule working two days in the San Marcos, CA office and three days from home.
Essential Job Functions
Must be self-directed / self-motivated; and have good communication and interpersonal skills.
Must be able to perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure.
Accept responsibility for the direction, control and planning of one’s own work.
Work independently.
Recognize the rights and responsibilities of patient confidentiality.
Convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief.
Relate to others in a manner which creates a sense of teamwork and cooperation.
Communicate effectively with people from every socioeconomic, cultural and educational background.
Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment.
Perform effectively when confronted with emergency, critical, unusual or dangerous situations.
Demonstrate the quality work ethic of doing the right thing the right way.
Maintain a customer focus and strive to satisfy the customer's perceived needs.
Duties and Responsibilities
Payment prep and posting.
Sign out for payment batch on batch log with time received.
Prep payment batch before keying by identifying and circling invoices. Separate payments by groups.
Follow protocol for posting payments, denials, and adjustments to invoices in all groups.
Balance all groups back to batch total.
Sign batch back in on payment batch log with time completed.
Research payments.
Payments requiring additional information should be pulled out from the batch for research. If the pullout is not resolved in two business days it should be given to the Supervisor for follow up.
Research payments posted to unapplied invoices to identify location to refund.
Verify with the Lead or Supervisor before putting payments on an unapplied invoice.
Review of statements.
Review billing statements in lockboxes for address corrections and credit card payments.
Review workers compensation folders for remittances that need prepping for imaging.
Post and review special projects.
Records maintenance.
Assist opening mail when needed.
Maintain and shred lockbox statements, Viva remits and commercial remittance backup after six months.
Perform other duties as requested by Supervisor or Manager.
What You Will Need:
High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED.
0-2+ year's experience in office, business, operations, customer service or healthcare field.
What Would Be Nice To Have:
6+ months of payment posting experience
One to three years of related experience and general knowledge of payor-specific or medical specialty reimbursement.
Knowledge of CPT and ICD-9/10 coding.
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The annual salary range for this position is $38,000.00-$63,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
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