Senior Cash Applications Representative

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Primary City/State:

Phoenix, Arizona

Department Name:

PFS Cash Applications

Work Shift:

Day

Job Category:

Revenue Cycle

POSITION SUMMARY
Responsible for the interpretation and accurate posting of all third-party/government payers’ payments, denials, and adjustments, as well as all patient and client payments. Also documents and reports payment issues and assists in payment issue resolution. Must have the ability to review and analyze all insurance explanations of benefits/payments and electronic remittance advices. Coordinates and facilitates account refunds, complex adjustments, and collection accounts. Researches and reconciles unapplied and/or missing payments. Requires the ability to interact with all levels of personnel and management.

CORE FUNCTIONS
1. Reviews and analyzes payer remittance advices, in order to report trends to management, as well as collaborate and meet with third-party/government reimbursement, as necessary, to facilitate resolution to outstanding payment issues requiring higher-level intervention.

2.Evaluate payer remits and denials for accurate posting and potential transfers to patient receivables. Evaluate accuracy of reimbursement relative to contractual requirements. Determines adjustment, corrections, or patient liability.

3.Reviews, evaluates, and posts all payments, denials and adjustments from manual and electronic insurance remittance advices, as well as client and patient payments in an accurate and timely manner in accordance with departmental policies, procedures and performance goals.

4.Researches and resolves missing, misdirected, and unidentified payments, as well as prepaid accounts. Coordinates transfers of misdirected payments to Quest Diagnostics Business Units.

5.Interprets and resolves written correspondence involving payment transfers, adjustments, credit balances, refunds and collection accounts. Documents requests for outside Collection agency.

6.Assist in Internal Audits and comply with checks and balances in accordance with departmental policies, procedures, generally accepted basic accounting principles and practices and all applicable laws and regulations.

KNOWLEDGE, SKILLS AND ABILITIES

Excellent organizational skills.
Ability to handle highly confidential information.
Ability to exercise independent judgment.
Demonstrated ability to set and maintain multiple priorities in an environment with shifting priorities, while providing accurate deliverables in a timely fashion.
Must be self-motivated and able to take ownership of projects/assignment.
Must be a team player.
Must have excellent customer service skills with outstanding follow-up.
Strong interpersonal, verbal and writing skills.
Knowledge of standard office equipment. Intermediate math, analytical and typing skills.
Ability to work independently and accurately with high volumes of data and minimal supervision.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.
One (1) year of experience in patient financial services, financial/accounting, or healthcare insurance industry.

PREFERRED QUALIFICATIONS

Experience in reading and interpretation of patient Explanation of Benefits (EOBs).
Additional related experience.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Average salary estimate

$52500 / YEARLY (est.)

min

max

$45000K

$60000K

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What You Should Know About Senior Cash Applications Representative, Sonora Quest Laboratories

Are you ready to take your skills to the next level as a Senior Cash Applications Representative at Banner Health? Based in the vibrant city of Phoenix, Arizona, you'll be at the forefront of our Revenue Cycle team, entrusted with the interpretation and accurate processing of all third-party and government payer payments, denials, and adjustments. In this pivotal role, not only will you handle patient and client payments, but you'll also be the go-to person for resolving payment issues and documenting them meticulously. Your day-to-day will involve analyzing intricate insurance explanations and electronic remittance advices while working closely with colleagues across departments. We value teamwork and collaboration, so expect to meet and strategize with third-party reimbursement partners to tackle any outstanding payment dilemmas together. As a Senior Cash Applications Representative, you'll also be responsible for coordinating complex adjustments, refunds, and managing collection accounts. You’ll dive into researching unapplied or missing payments and thrive in a fast-paced environment that values accuracy and organization. If you’re self-motivated, possess excellent analytical skills, and enjoy playing a vital role in supporting a high-functioning revenue cycle, then we’d love for you to join our team and contribute to our mission at Banner Health. Let’s embark on this journey together and make a difference in healthcare financing.

Frequently Asked Questions (FAQs) for Senior Cash Applications Representative Role at Sonora Quest Laboratories

What are the main duties of a Senior Cash Applications Representative at Banner Health?

As a Senior Cash Applications Representative at Banner Health, your primary duties will include interpreting and accurately posting payments, denials, and adjustments from various payers, including third-party and government sources. You will also analyze payer remittance advices to identify trends and resolve outstanding payment issues by collaborating with other departments. Additionally, you'll be tasked with documenting payment discrepancies, coordinating account refunds, and researching unapplied payments, ensuring an efficient revenue cycle process.