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Job Description
Experience these exceptional benefits when you join Med-Metrix!
8-Hour Shifts, Fixed Weekends Off
Day 1 HMO with 2 of your dependents covered for FREE
Group Life Insurance
Medical Cash Allowance
Rice Allowance
Clothing Allowance
Holiday Gift
Bereavement Assistance
Free Lunch Daily
Paid Time Off
Training and Staff Development
Employee Engagement Activities
Opportunities for Internal Mobility
Job Purpose
The Cash Management Representative is responsible for all elements of Cash Management which include but is not limited to: payment posting, allowance posting, electronical file processing, bank reconciliation and recording, batch posting reconciliation and recording, Co-Source monitoring and management.
Duties and Responsibilities
Cash management for multiple clients
Recording, posting & reconciling of daily cash across multiple clients and PM systems
Identifying delayed, missing files and escalation to supervisor
Maintaining WQ’s assigned to them. Identifying trends and escalating to supervisor
Unique client specific assigned workflows & tasks
Posting of zero / denials batches timely and accurately
Acting as liaison for Co-Source partners
Responsible for retrieving EOB’s to post payments & denials
Resolve missing payment requests timely. Provide feedback to supervisor with identified trends and issues
Work with client Finance/Accounting/Treasury partners to identify and resolve reconciliation topics
Complete cash posting emails as assigned by Supervisor
Meets and maintains daily productivity standards established in departmental policies
Meets and maintains quality standards established in departmental policies
Uses the MPower workflow system, client host system, payer websites and other tools available
Adheres to the policies and procedures established for the client/team
Working knowledge of the insurance follow-up process with the understanding of the fundamental concepts in healthcare reimbursement methodologies
Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes
Act cooperatively and courteously with patients, visitors, co-workers, management and clients
Maintain confidentiality at all times
Maintain a professional attitude
Other duties as assigned by the management team
Understand and comply with Information Security and HIPAA policies and procedures at all times
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High School diploma or equivalent required
1 year experience in insurance collections and or payment posting
Understanding an EOB and what the remarks or denials mean
Experience in Physician/Professional billing
Ability to work well individually and in a team environment.
Strong communication skills/oral and written
Strong organizational skills
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Work Set-Up: Onsite
Work Schedule: Predominantly dayshift; must be flexible to accommodate business needs.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
