Hospital Cash Applications Specialist

The Hospital Cash Applications Specialist Iis a Full Time, Regular position working remotely Monday-Friday from 8am-5pm PST. Ideal candidate will reside in our service area of Oregon, Idaho, Montana, Washington.

Summary:  The Hospital Cash Applications Specialist I is responsible for timely processing of payments, refunds, and adjustments.

General Description:  Ensures that all insurance and patient self-pay payments, adjustments, and denials are posted to facilitate timely, accurate management of accounts receivable. Organizational, communication (written, verbal and personal), problem solving, prioritizing and decision-making skills are routinely used in everyday activities.  There is minimum supervision and appropriate initiative must be taken to complete projects by the deadlines given.  

Essential Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prepares daily bank deposits
• Receives and records all acceptable methods of payments received to the appropriate patient or non-patient accounts.
• Processes 835 remittance files and balances appropriately.
• Identifies and posts appropriate adjustments, discounts, and denials to accounts when warranted.
• Processes insurance refunds as determined by Biller.
• Reconciles daily payment batches with hospital deposits to ensure all insurance and self pay payments are accounted for.
• Researches and resolves any discrepancies in the daily payment reconciliation process.
• Scans, archives and files all deposit documents appropriately and in a retrievable and accessible manner.
• Investigates unidentified payments and resolves them promptly.
• Processes self- pay credit balances appropriately.
• Prepares monthly Swing bed and SNF statements.
• Receives questions from customers regarding accounts and either answers or refers them to the appropriate biller or leadership for assistance.

• Other special projects and duties as assigned.

General Duties/Responsibilities:

• Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
• Honest, pleasant manner and good personal hygiene.
• Free of alcohol and drug abuse.
• Valid state driver’s license and proof of insurance.
• Excellent communication and interpersonal skills.
• Detail oriented; ability to multi-task; organized and able to work in a fast-paced environment.
• Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.

• Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
• Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smooth functioning department.
• Follows all Health and Safety policies and guidelines of Inland Imaging and its partners depending on work location
• Performs other duties as required by displaying team spirit and self-growth, accepting and performing other projects and responsibilities, and requesting other projects and responsibilities.
• Ability to work remotely, from a home-based environment with desk, desk chair, computer, adequate lighting, and access to cable internet.
• Requires flexibility with scheduled work hours the final week of the month/year to ensure all available dollars are posted to client A/R system by close of business.

Supervisory Responsibilities:

• There is little or no supervisory responsibility in this position.

Advocacy:

• Treats all clients with dignity and respect
• Provides excellent customer service
• Conforms to Joint Commission and HIPAA regulations
• Complies with PHI (Protected Health Information) Demonstrates the Inland Imaging Core Values:
• Show We Care, Do The Right Thing, Maximize Individual Potential, Always Aim Higher

Qualifications:  

• Education: High School Diploma/GED required.
• Experience: Two years of billing / Healthcare accounts receivable experience is desired.
  • Must have good judgment and memory to ensure that the appropriate action is taken on accounts.
  • Knowledge of cashiering principles and insurance payment methods including recognizing appropriate adjustment and discount amounts.
  • Must be able to use a 10 key.
  • Possesses good time management skills.
  • Has good accounts receivable skills.
  • Speed and attention to detail.
  • Experience in hospital or physician medical payment processing.
  • Medical Terminology – knowledge of medical procedures.
• Licensure:   N/A
• Certifications:  N/A
• Computer Skills:  Experience with the following computer applications is highly desired: Microsoft Office products (Outlook, Word, Excel); Internet, Intranet, and hospital or physician accounting system.
• Background Check:
  • Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults
  • In order to comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG).  Employees must not be included on this list.  
• Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test.