The Cash Posting Specialist will perform under general supervision a variety of tasks related to posting, reconsiderations and adjustments of all payment types to the billing and collection system. This position will perform tasks in a timely and accurate manner in accordance with Billing Office practices, policies, and procedures. This position is responsible for manually posting daily batches of insurance payments to patient accounts as indicated on insurance EOBs. The Cash Posting Specialist will activate electronic batches and monitor exception reports. It is responsible for processing and application of all daily cash receipts, non-cash transactions, A/R adjustments, denials and write offs. It is responsible for ensuring accurate posting of manual checks and manual batches. Posting insurance denials using proper claim adjustment reason codes. Accessing various online portals and clearinghouses to obtain insurance payment and claim information to support the posting. Advise other team members on non-payments, underpayments, and overpayments. Review posted transactions to deposit and bank reconciliations sheets for balancing accuracy. Work closely with Accounting department on cash sheets and other reconciliation reports. Audit insufficient payments on 835 transactions, lockbox and paper remits for appropriate adjustments and denial codes. Distribute daily mail, correspondence and other items to facilitate collections process.
Essential Duties:
- Responsible for posting payments and adjustments accurately at department standard. Responsible for meeting or exceeding monthly quality review. Meets or exceeds monthly productivity standards goal. Posts all payments in a timely and accurate fashion. Complete all adjustment requests and EOB reviews in a timely and accurate fashion. Maintain all batches posted, timely and accurate (both manual and electronic) included but not limited to “suspense accounts” or “unidentified cash”.Technical knowledge of billing guidelines, contracts and reimbursement methodology. Ability to read and interpret 835, EOB and paper remits.
- Responsible for identifying and copying payments and or correspondences needed to bill additional insurance companies or maximize reimbursement. Processes correspondence within the established timeline of 5 days from receipt. Responsible for balancing, closing and recording all batches.
- Consistently and efficiently, utilize payer websites, clearing house and other tools available to validate, facilitate and post appropriate A/R payments/adjustments. Works to identify opportunities for improvement and, when appropriate, develop and assist with implementing effective solutions. This includes but not limited to identifying internal and external payor issues. Able to reconcile for multiple entities under the same Tax ID number and within the system. Work in collaboration with other USC entities to resolve A/R related issues, transactions, payments and reconciliation.
- Monitors discrepancies and makes needed adjustments. Notifies appropriate personnel of trends or problems with specific payers, contracts or fee schedule adherence. Adapts to changes of unusual circumstances, new systems, new process flows, structural changes within the department, promotes cooperation and minimizes disruption to working environment. Works assigned reports in a timely fashion. Responds to e-mails and inquiries timely and professionally.
- Perform all other duties as assigned.
Required Qualifications:
- Req High school or equivalent
- Req 2 years Experience in cash application or payment posting
- Req Experience with 835 and 837 files and understanding EOB.
- Req Ability to organize and prioritize work to meet strict deadlines.
- Req Computer skills including Microsoft Excel, Calculator and Word along with payment posting software.
- Req Demonstrate a strong analytical and math skills.
- Req Ability to work in a fast pace team environment as well as independently.
- Req Strong customer service skills.
- Req Requires excellent communication, customer service and organizational skills.
- Req Must be detailed oriented.
- Req Technical knowledge of billing guidelines, contracts and reimbursement methodology.
- Req Ability to read and interpret 835, EOB and paper remits.
Preferred Qualifications:
Required Licenses/Certifications:
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The hourly rate range for this position is $19.00 – $29.77. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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