Cash Reconciliation Analyst

Position: Cash Reconciliation Analyst

Primary Location: Cape Cod/ Remote

Employment Status: Exempt

Reports To: Director of Revenue Cycle

Description Updated: April 19, 2023

Summary

The Cash Reconciliation Analyst is responsible for payment validations, customer service, correspondence within EPIC and SFTP site. Reconciliation Analyst must ensure that all processes meet all government mandated procedures for integrity and compliance.

Essential Functions

• Produce daily finance reports including month end reports.
• Reconcile all bank accounts for Outer Cape Health Services.
• Maintain patient accounts and performing all billing functions.
• Review payment variance log from vendor and assist with missing items.
• Assist with payments being posted to the GL for legacy (EcW) payments.
• Report recommending corrective actions if needed and assist in recommending quality improvement procedures.
• Communicate with the Director of Revenue Cycle to keep abreast of potential risk exposure related to cash processes and discrepancies.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Upload remits into STFP site if needed.
• Post payments in EPIC manually.
• Work a variety of claims denials including but not limited to; self-pay, payment arrangements, registration issues, patient payments and patient refunds.
• EFT and ERA enrollments.
• Work insurance denials, aging claims, requests and appeals with appropriate carrier.
• Enter refund requests into EPIC and forward to the appropriate individual for issuance of checks.
• Administrative duties as needed including phone coverage for patient inquiries, handling and resolving department mail and faxes.
• Ability to work independently and identify when issues need to be expedited.
• Other related duties and projects as assigned.
• Ability to establish and maintain effective working relationships and communicate clearly and effectively with patients, vendors, leadership, and insurance companies.

Core Competencies

• Functional knowledge
  • Finance
  • Clinical compliance
  • Technical skills computer (Microsoft Office)

• Interaction and Collaboration
  • Strong interpersonal skills
  • Ability to work persuasively with internal and external stakeholders.
  • Influencing others
• Results and Detail-Oriented
  • Thoroughness
  • Accuracy
  • Attention to detail
• Communication
  • Excellent communication skills

• Self-Management/Personal Skills
  • Analytical
  • Problem solving
  • Accountability
  • Dependability
  • Multi-tasking
  • Resourcefulness

Required Qualifications, Education, and Experience

• Associate degree in health care, business or related field a plus but not required.
• 3 years experience in medical billing/or medical practice experience, or the equivalent combination of education and experience required.
• 2-3 years experience with cash operations including EOB interpretation, reconciliation, balancing bank accounts.
• Knowledge of basic medical coding/ terminology and third-party insurance payers.
• Experience with patient accounting systems and billing /claim submission software.
  • Epic software experience a plus.
• Moderate to advance level in Excel.
• Ability to create processes for training purposes.

Physical and Mental Job Requirements

• Use of and/or subject to:
  • Vehicle
  • Light equipment
  • Computers/monitors
  • Confined spaces
• Physical requirements:
  • Occasional lifting/carrying up to 25 lbs
  • Occasional motor control
  • Occasional bending
  • Occasional squatting
  • Occasional kneeling
  • Occasional reaching
  • Frequent standing
  • Frequent sitting
  • Frequent walking
  • Frequent fine motor control
  • Frequent repetitive motion
  • Occasional finger dexterity
  • Occasional grasping/holding
  • Frequent handwriting and typing
  • Frequent visual perception
  • Frequent visual inspection
  • Frequent hand/eye coordination
    • Frequent color distinction
  • Frequent hearing
  • Frequent speaking

• Mental requirements:
  • Understand and apply routine verbal and/or written instructions.
  • Understand and apply non-routine verbal and/or written instructions.
  • Understand complex problems and collaborate to explore alternative solutions.
  • Organize actions to complete sequential and/or routine tasks.
  • Organize and prioritize individual work schedule to manage multiple patients, tasks, and/or projects.
  • Organize and prioritize the work schedules of others to manage multiple patients, tasks and/or projects.
  • Make decisions that have an impact on the individuals work.
  • Make decisions that have an impact on the immediate work units operations and/or services.
  • Make decisions that have significant impact on a departments credibility, operations, and/or services.
  • Make decisions that have an impact on the health and wellbeing of patients.
  • Communicate and exchange routine/basic information.
  • Communicate and explain a variety of information.
  • Communicate in-depth information for the purpose of interpreting, and/or negotiating.
  • Communicate complex medical information to patients and patient families.
  • Memorization/concentration.
  • Learning/knowledge retention.
  • Preparing/analyzing numerical figures.
  • Analyzing/examining/testing data.
  • Emotional/behavioral self-regulation.
  • Interacting with others.

Work Environment

• The functions of this role are conducted in an office environment if living within 45 miles of Cape Cod.
• Remote opportunities will be considered based on location.

Hours of Work

• This position is full-time.
• This is a full-time hourly position.
• Overtime can be available when approved by the Director of Revenue Cycle.

AAP/EEO Statement

Outer Cape Health Services is committed to a firm policy in favor of equal employment opportunity and will abide by all applicable state and federal regulations by not discriminating against any applicant or employee based on race, religion, color, creed, sex, age, national origin, citizenship status, marital status, sexual orientation, gender identity and expression, disability or veteran status. Our commitment to equal employment opportunities shall include employment, upgrading, promotion, demotion, transfer, leaves or other absences from work, layoff, compensation and benefits, selection for training or other education, professional opportunities and conflict resolution.

It is also the policy of OCHS to take affirmative action to employ and to advance in employment, all persons regardless of their status as woman, minority or individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.

Please inform us of any necessary accommodations required during the application process and/or at any time during employment.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.