Cash Specialist, Healthcare - HMS DBO

Overview

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

The Cash Posting Specialist supports the Revenue Cycle by ensuring accurate and timely daily posting of all third-party and patient payments as well as adjustments to patient accounts. They are responsible for daily entry, reconciliation, electronic data interchange, and analysis of all activity between the bank lockbox, patient accounting system, and the general ledger. This position requires detailed analysis and critical thinking to ensure accurate balances are reflected on accounts and determine what is necessary to correct an account if not matching remittances.

In addition, the Credit Balance Specialist ensures proper account documentation within the facility’s systems on actions taken on account under the supervision of the department leaders. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required.

• Monitors all third party and patient payments, including any received electronic funds and manual transactions to ensure that all payment transactions received from all payer sources are fully accounted for, accurately credited and debited and balanced daily between the bank account, Hospital System, and accounting ledgers
• Responsible for reconciliation of 835 file and deposit amounts
• Monitor all posting software to ensure that all assigned Electronic Remittance Advices (ERAs) received will post appropriately
• Works with management/IT to resolve any ERA posting issues
• Apply correct contractual adjustment and enter appropriate account status from remittance advices or explanation of benefits received in lockbox correspondence as needed
• Process Medicare RAC recoupments & interest to facilitate timely appeal process
• Process remittance advice, check, and/or cash on a timely basis
• Research transactions appropriately to ensure that payments are correctly applied
• Demonstrates understanding of fundamentals of cash applications and department revenue cycle operations
• Communicates to management and function as a liaison between IT and the department to resolve any pending electronic transactions upon management's request
• Researches and resolves unapplied activity accounts
• Documents any request or concern received via mail, e-mail, telephone, written correspondence, or in person on the patient's account
• Completes documentation of daily activities for individual productivity tracking and for patient account volume management
• Cross-trains in other related business office functions to ensure smooth operation of the department
• Maintains confidentiality of all protected health information (PHI)
• Performs all job functions in a manner consistent with Huron’s expectations as…