Job Description
Cash Recon - Payment Investigator
Classification (FLSA Status) Non- Exempt
Reports to Revenue Cycle Director
This position is responsible to complete escalated analysis of unreconciled payments and provide solutions to root cause problems.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Research unposted variances and provide timely support to the posting team for reconciliation.
Identify payment portals that are not being utilized and work with implementation team to obtain access.
Identify unposted variance trends and provide feedback for ERA/EFT enrollments.
Identify root cause of unposted variance trends and provide training/guidance to the posting team to resolve continuation of trend.
Field questions from other co-workers and staff as required.
Actively participates in facility and departmental communication through daily review of email messages.
Any other duties as assigned by manager.
Competencies
Demonstrates well developed interpersonal/communication skills necessary to interact effectively with internal and external patients/staff.
Requires well developed organizational skills and basic office operations to assure appropriate documentation and follow-through to meet the patient and department needs.
Can evaluate a variety of patient situations and make timely and decisive decisions, with minimal supervision. This includes analyzing claim data to determine the next best step in the claim filing process.
Demonstrates proficient computer skills including accurate data entry into Microsoft Office software
(Outlook, Work, Excel). Along with basic proficiency of internet usage.
Knowledge and/or willingness to understand insurance guidelines and requirements.
Have a current knowledge of CPT/ICD10/HCPCS usage.
The ability to review documentation to obtain basic procedural and/or diagnosis codes.
Supervisory Responsibility
None
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
Position Type/Expected Hours of Work
Full Time / Monday – Friday
Travel
None
Education and Experience
High School Diploma or equivalent
2+ years experience in medical billing
Work Authorization/Security Clearance
Must be authorized to work in the US for any employer
AAP/EEO Statement
US Digestive Health is an Equal Opportunity Employer. USDH does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business needs
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.
As a condition of employment, a complete background investigation will be conducted based on the rules of the specific State in which the employee is hired. Typically, the state investigative process includes a state and federal background check. In addition, a drug screen will be required. TB testing will also be required for all patient-facing roles.
EEO Statement
At US Digestive Health, employees and applicants are evaluated based on their qualifications, skills, and ability to perform the duties and responsibilities of the position. US Digestive Health is committed to assuring equal employment opportunities to all employees and applicants.
US Digestive Health is an equal opportunity employer. In accordance with applicable law, we prohibit discrimination based on race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic information, sexual orientation, to include gay, lesbian, bisexual, transgender and gender identity, or any other consideration protected by federal, state or local laws. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and coworkers.
Disclaimer
This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. The list of job responsibilities, skills, duties, requirements, and the like is not exhaustive, rather it is illustrative of the current essential functions required for the position.
This organization participates in E-Verify.
This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. E-Verify Works for Everyone For more information on E-Verify, or if you believe that your employer has violated its E-Verify responsibilities, please contact DHS.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- No weekends
Ability to commute/relocate:
- Reading, PA 19610: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Military: 1 year (Preferred)
- Surveillance: 1 year (Preferred)
License/Certification:
- Driver's License (Preferred)
Work Location: In person
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