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Austin, Texas, United States • Remote OK
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The specialist is responsible for processing insurance payments, reconciling deposits, and managing patient accounts within the Revenue Cycle team. Key duties include posting ANSI codes from remits and researching unidentified payments to ensure accurate revenue reporting.
Candidates must have a High School Diploma or GED and at least 2 years of experience in medical billing. Proficiency in EMR software and knowledge of Medicaid and Commercial payers are required.
The Cash Posting Specialist works as part of a central Revenue Cycle team to process insurance payments and is responsible for reconciling deposits, posting payments and recoupments, and managing patient accounts. The Cash Posting Specialist ensures accurate posting of ANSI codes from remits to ensure proper work queue routing and required billing data elements to ensure an accurate accounting processed for payment and revenue reporting.
Remote opportunity only extends to specific states.
Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):
· Prepare and post insurance payments via 835, includes resolving any errors.
· Hand Key remittances if 835 is unavailable or not applicable to payor.
· Register with all necessary payor portals and submit all required verification documents for access.
· Retrieve and post remittances from payor websites when remittance is not available.
· Verify and add coverage for any payments received on crossover payment not on the patient account.
· Post all payments accurately within 72 hours.
· Research unidentified payments and/or recoupments to determine appropriate resolution.
· Update and maintain cash management, logs and/or spreadsheets used for reconciliation.
· Process payments from insurances and prepares a daily deposit if needed.
· Prepare required accounts payable paperwork for insurance refunds.
· Post refund checks issued by accounts payable when necessary.
· Review of credit work queues to ensure accurate posting and validation of insurance credits or undistributed credits.
· Follow and report status of missing payments or remits both electronic and manual.
· Identify and report patterns and trends that indicate a potential issue.
· May assist in denials management as directed.
· Participate in educational activities and attends monthly staff meetings.
· Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.
· Demonstrate a willingness to be an active participant in initiatives that have fundamental impact on the organization.
· Performs any other duties as needed to drive the vision, fulfill the mission, and abide by the values of this organization.
· Knowledge of insurance ANSI/CAS Codes.
· Knowledge of medical billing/collection practices.
· Knowledge of computer programs.
· Knowledge of Medicaid and Commercial payers.
· Knowledge of medical computer software, including Electronic Medical Records (EMR).
· Knowledge of basic medical coding and third-party operating procedures and practices.
· Ability to operate a computer, computer programs, and basic office equipment including a multi-line telephone system.
· Ability to read, understand and comprehend the CPT, ICD 10 and HCPCS manual.
· Ability to read, understand and follow oral and written instructions.
· Ability to establish and maintain effective working relationships with patients, employees, and management.
· Must be well organized and detail oriented.
· Cooperative work attitude towards co-employees, management, patients, visitors, and physicians.
· Ability to promote favorable company image with physicians, patients, insurance companies, and the public.
· Ability to make decisions and solve problems.
· Ability to follow instructions and to meet deadlines.
· Requires excellent communication skills with attention to detail and timeliness.
· Maintain regular and predictable attendance.
· Promptly identify issues and develop action plans for resolution with supervisor.
· Uses organizational resources appropriately and avoids wasteful practices.
MINIMUM EDUCATION: High School Diploma or GED
MINIMUM EXPERIENCE: 2 years in billing
Strengthening the health and well-being of the communities we serve.
CommUnityCare Health Centers is a not-for-profit 501(c) (3) corporation providing primary care health services to the medically underserved. For over 30 years, we served as the Community Health Centers, operating as a department of the City of Austin. In March 2009, we became CommUnityCare, operating independently from the City. CommUnityCare is proud of its past history of service to the community and looks forward to continuing to provide great care. Our vision as CommUnityCare is to increase access to care and to expand our range of services. CommUnityCare operates 25+ health center locations in Travis County and central Texas. We offer comprehensive primary care services for the entire family including: family medicine, internal medicine, pediatrics, women's health services, behavioral health services, nutrition education, pregnancy and parenting centering programs, specialty services such as cardiology, dermatology, pulmonology and dental care.
Offices: 2115 Kramer Lane, Ste 100, Austin, TX 78758, US
Based on 703 listings with disclosed salaries, most finance & accounting jobs in Austin, TX pay between $43k–$180k per year. Individual offers vary with seniority, company size, and specialization.
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