
Posted 14 days ago
Cash Poster
AI Summary
Reconciles health plan and patient reimbursements for drugs and services by posting payments, remittances, and EOBs to patient accounts, investigating discrepancies, and coordinating with billing and collections.
About this role
About AmeriPharma
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.
Job Summary
The primary function of the cash poster is to reconcile all reimbursement provided by health plans and patients, to the drugs and services rendered.
Schedule Details
Location: On-Site, Laguna Hills CA.
Hours: Monday-Friday 8:30AM-5:00PM
Duties and Responsibilities
- Compile and sortdocuments suchas remittance notices, copies of checksand treasury reports.
- Actively update andmaintain cash postingreports.
- Perform NCPDP paymentsfor batch postingon a weeklybasis.
- Utilize external commercial, governmental, and third-party web portalsto gather supportingremittance informationfor payment reconciliation.
- Ensure all paymentsreceived from payersare posted topatient claims/invoiceswith accurate informationsuch as posteddate, date paid, check number, andamount paid.
- Reconcile posted checkswith payments received/deposited.
- Investigate long/unreceivedexpected insurance payments.
- Review EOB statements, post claim denialsand underpayments toaccounts and collaboratewith Billing tofacilitate timely claimfollow-up andbilling/collections resolutions.
- Verify that allEFT deposits andscanned checks havebeen posted ontime.
- Accurately transfer balancesto secondary payers, copay assistance orpatients' accounts.
- Facilitate balance billingby transferring copay/deduct balance andassigning to designatedCollectors.
- Utilize the BillingNotes to documentany follow upor cash postingtransactions with relevanceto Billing & Collectionsprocesses.
- Escalates to managementany unresolved issuesaffecting cash postingand accounts receivableperformance.
- Provides the highestlevel of customerservice in answeringpatient phone callsand swiftly resolvepatients' questions, communicatewith doctors' officesand their staff.
- Identifies and communicatesto the managementteam any incompleteor inaccurate billingrelated datasets resultingin billing errorsand process delaysin a timelymanner.
- Ensures compliance withall payer rulesand regulations.
- Ensure all claimfees are appropriatelyapplied to reconcilepayment within EDI.
- Other duties asassigned.
Required Qualifications
- Ability to read, write, speak, andunderstand the Englishlanguage
- Ability to accuratelyreconcile payments oncecash postings arecompleted
- Strong organizational skillsand ability tomanage large amountsof data
- Excellent time management, communication, interpersonal, multi-tasking andprioritization skills
- Ability to workindependently with minimalguidance
- Ability to typewith minimal errors
- Ability to read, comprehend, analyze, andinterpret data
- Ability to workthe hours thatwill ensure allprojects and dutiesare completed ina timely manner.
- Must be ableread and interpretEOB's
- Knowledge of electronicremit notices andauto posting.
- Advanced knowledge ofWord, Excel andOutlook functions.
Education and Experience Requirements
- High School diplomaor equivalent
- 2+ years ofcash posting oraccounts receivable experience
Preferred Qualifications
- Previous Medical ReimbursementPosting Experience
- Pharmacy NCPDP PostingExperience
AmeriPharma’s Mission Statement
Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.
EEO Statement
The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.
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