Job Description
Experience these exceptional benefits when you join Med-Metrix!
• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Group Life Insurance
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Holiday Gift
• Bereavement Assistance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility
Job Purpose
The Cash Management Representative is responsible for all elements of Cash Management which include but is not limited to: payment posting, allowance posting, electronical file processing, bank reconciliation and recording, batch posting reconciliation and recording, Co-Source monitoring and management.
Duties and Responsibilities
• Cash management for multiple clients
• Recording, posting & reconciling of daily cash across multiple clients and PM systems
• Identifying delayed, missing files and escalation to supervisor
• Maintaining WQ’s assigned to them. Identifying trends and escalating to supervisor
• Unique client specific assigned workflows & tasks
• Posting of zero / denials batches timely and accurately
• Acting as liaison for Co-Source partners
• Responsible for retrieving EOB’s to post payments & denials
• Resolve missing payment requests timely. Provide feedback to supervisor with identified trends and issues
• Work with client Finance/Accounting/Treasury partners to identify and resolve reconciliation topics
• Complete cash posting emails as assigned by Supervisor
• Meets and maintains daily productivity standards established in departmental policies
• Meets and maintains quality standards established in departmental policies
• Uses the MPower workflow system, client host system, payer websites and other tools available
• Adheres to the policies and procedures established for the client/team
• Working knowledge of the insurance follow-up process with the understanding of the fundamental concepts in healthcare reimbursement methodologies
• Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
• Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients
• Maintain confidentiality at all times
• Maintain a professional attitude
• Other duties as assigned by the management team
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
• High School diploma or equivalent required
• 1 year experience in insurance collections and or payment posting
• Understanding an EOB and what the remarks or denials mean
• Experience in Physician/Professional billing
• Ability to work well individually and in a team environment.
• Strong communication skills/oral and written
• Strong organizational skills
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction
Working Conditions
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.