Cash Applications Rep - CNPA Silver Spring

The Cash Applications Representative (CNPA) will be responsible for posting payments and adjustments to patient accounts. Maintain records in filing system. Document activities and contacts in systems. Develop understanding of assigned managed care contracts and payer requirements.

Our ideal candidate will have a minimum of 1 year of healthcare revenue cycle experience, preferably focused on posting insurance and patient payments, working bank lockboxes, reading and understanding insurance Explanation of Benefits (EOBs) documents, applying insurance recoupments, and performing cash posting reconciliation procedures as it relates to healthcare payment posting. Minimum Education

High School Diploma or GED (Required)

Minimum Work Experience

2 years Related Medical Office/Finance/Cashier. (Required)

Functional Accountabilities

Payment Posting

Accurately post payments to the correct account and correct line item.

Apply payments to accounts from electronic remittance and lockbox payments.

Apply payments from payer email notices as assigned by Team Leader and CBO credit card transactions. Adjustment and Recoupment Posting

Post contractual adjustments from payer remittance advice or correspondence.

Post remark codes for payer denials.

Document check number and/or EOB location for low or no payment transactions (e.g., deductible).

Complete payer recoupment requests and document account with reason and check number. Overpayment/ Credit Balance/ Reconcilation

Notify Team Leader of payments with unidentified or no documentation (unidentified cash posted).

Completely document origin of transactions that create unidentified credits.

Resolve credit balance as assigned by Team Leader/Manager.

Reconcile batch amounts with posting process and journal.Research

Develop detailed knowledge of internal systems to research cash posting inquires.

Document actions in system include research findings, write-offs, credit balances, and transfers. Program Knowledge

Understand managed care contracting requirements and apply principles to cash posting.

Develop detailed understanding of state/federal assistance programs, e.g., Medicaid.

Keep current with federal and state regulations surrounding cash posting.

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment/Identification

Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

Demonstrate collaborative and respectful behavior

Partner with all team members to achieve goals

Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

Contribute to a positive work environment

Demonstrate flexibility and willingness to change

Identify opportunities to improve clinical and administrative processes

Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

Use resources efficiently

Search for less costly ways of doing things

Safety

Speak up when team members appear to exhibit unsafe behavior or performance

Continuously validate and verify information needed for decision making or documentation

Stop in the face of uncertainty and takes time to resolve the situation

Demonstrate accurate, clear and timely verbal and written communication

Actively promote safety for patients, families, visitors and co-workers

Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance