Cash Applications Specialist

Qualification Requirements

• High School diploma or equivalent
• Minimum 3 - 5 years’ experience in medical/pharmacy setting
• Knowledge of Medical terminology
• Knowledge of Coding ICD-10, HCPCS, CPT, HER
• Understanding and knowledge of revenue cycle, insurance billing and payment/Banking reconciliation
• Maintains the strictest confidentiality of patient information in compliance with HIPAA, state and federal regulations
• Strong verbal and written communication skills to individuals and business at all different education levels
• Advanced computer skills and knowledge of Microsoft Office (Word, Excel, etc.)

Qualifications Preferred

• Certificate, associate degree or bachelor’s degree a plus, but not required
• CPR+
• Pharmacy Software experience, a plus, but not required
• Caretend/Weinfuse

Essential Functions and Responsibilities

• Preparing daily deposits as applicable
• Maintains daily deposit batch sheets
• Prepares cash batches by finding the batch and setting it up in the billing system
• Lock-Box deposits will be received with proper back-up/patient identification
• Reconcile posted checks received with checks deposited
• Review a claim rejection/denial, review the EOB, reconcile, make corrections appropriately
• Post cash and credit card payments to patient accounts and processes, if needed
• Apply the payments from EOBs, claims and other documents into the billing system to the proper patient account. Posts refunds and processes per policy.
• Enters the proper contractual adjustments from the Explanation of Benefits (EOB)
• Flag all payments that receive a contractual above 10%, denials and other unusual items for the collections department
• Posting of denials and zero pay
• Processes all incoming correspondence appropriately
• Compile and sort documents such as invoices and copies of checks
• Processes write-offs according to internal policies and procedures
• Communicate with field, pharmacy staff, and patients when needed

Non-Essential Functions & Responsibilities

• Self-motivated and able to work with minimal supervision
• Able to prioritize and manage multiple responsibilities in fast-paced environment
• Problem analysis and assessment
• Attention to detail and high level of accuracy
• Teamwork and collaboration
• Commitment to excellent customer service
• Able to meet deadlines

Knowledge, Skills and Abilities Requirements

• Ability to maintain accurate records and prepare reports and correspondence related to the work
• Excellent verbal, written, and communication skills
• Close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus

Physical Demands

• Stand, walk, or sit
• Use hands to finger, handle, or feel objects, tools, or controls
• Reach with hands and arms
• Climb stairs
• Balance
• S stoop, kneel, crouch, or crawl
• Talk or hear

Other Requirements

• Participate annually in required legal and ethical compliance training
• Consistently act in compliance with LUX Infusion’s legal, ethical, and compliance policies
• Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual
• Refrain from any behavior that could be considered unethical or unlawful

General Information

• The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
• This role operates in a fast-paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate.
• Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
• LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
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