RCM Cash Application Specialist

Davita Inc.; San Jose (CA); Remote; USD 150,000 - 200,000; Full time

Job summary

A leading company in the medical billing field is seeking an RCM Cash Application Specialist to process daily payment batches. The ideal candidate will excel in communication, have a strong attention to detail, and be looking to advance in the healthcare revenue cycle management field. Responsibilities include posting payments, verifying amounts, and collaborating with teams to ensure accurate processing. This role requires a high school diploma and 1-3 years of relevant experience.

Qualifications

• 1-3 years of experience in healthcare or RCM for medical cash payment posting.
• Ability to read Explanation of Benefits (EOB).
• Excellent Excel skills and proficiency in billing systems.

Responsibilities

• Post daily payment batches accurately into the billing system.
• Verify and reconcile payments against billed amounts.
• Investigate and resolve discrepancies related to payments.

Skills

Communication skills

Attention to detail

Excel proficiency

Analytical skills

HIPAA knowledge

Education

High School Diploma or equivalent

Bachelor's degree in related field

Job description

Acute Care Technology

We are looking for an RCM Cash Application Specialist to join our team for a third-party Revenue Cycle Management medical billing company. The ideal candidate will have excellent communication skills and a strong desire to learn about the healthcare industry/revenue cycle management. The RCM Cash Application Specialist will be responsible for processing daily payment batches while maintaining patient confidentiality and accurately inputting patient data.
Essential Functions
Accurately post daily payments batches of payments received from insurance companies, patients, and other payers into the billing system.
Verify and reconcile payments to ensure they match the amounts billed.
Investigate and resolve any discrepancies or issues related to payments.
Process adjustments, refunds, and write-offs as necessary.
Apply appropriate workflow to patient accounts.
Document denials in patient accounts.
Prepare and distribute reports on payment posting activities.
Collaborate with pre-billing and follow-up teams to ensure timely and accurate payment processing.
Stay updated on insurance regulations, coding changes, and billing guidelines.
Maintain confidentiality of patient information and adhere to HIPAA regulations.
Other duties and responsibilities as assigned.

Required/Preferred Education and Experience
High school diploma or equivalent (Bachelor's degree in a related field preferred).
At least 1-2+ years of experience in the healthcare industry or RCM field for Medical Cash Payment Posting.

Knowledge, Skills and Abilities
Ability to read and understand Explanation of Benefits (EOB).
Excellent Excel skills.
Understanding of standard healthcare adjustment codes and remark codes.
Ability to analyze recoupments, credit balances, and refund requests.
Familiarity with 835 electronic data files.
Excellent communication and interpersonal skills, both written and verbal.
Strong attention to detail and accuracy.
Ability to work independently and as part of a team.
Proficiency with computer systems and software, including Microsoft Office and hospital systems.
Knowledge of HIPAA regulations and compliance.
Ability to multi-task, prioritize, and manage time effectively.
Willingness to learn and adapt to new technologies and processes.

Physical Demands
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.
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Occasionally
Hearing - Occasionally
Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

The hourly rate for this position can range from $18-20. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level.At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.

The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service.

Job Type

Remote

Job Summary

The RCM Cash Application Specialist will be responsible for processing daily payment batches while maintaining patient confidentiality and accurately inputting patient data.

Essential Functions

• Accurately post daily payments batches of payments received from insurance companies, patients, and other payers into the billing system.


• Verify and reconcile payments to ensure they match the amounts billed.


• Investigate and resolve any discrepancies or issues related to payments.


• Process adjustments, refunds, and write-offs as necessary.


• Apply appropriate workflow to patient accounts.


• Document denials in patient accounts.


• Prepare and distribute reports on payment posting activities.


• Collaborate with pre-billing and follow-up teams to ensure timely and accurate payment processing.


• Stay updated on insurance regulations, coding changes, and billing guidelines.


• Maintain confidentiality of patient information and adhere to HIPAA regulations.


• Other duties and responsibilities as assigned.


• Comply with all policies and standards.


• Any other job responsibilities as assigned by management and subject to modification.

Required/Preferred Education and Experience

• High School Diploma or equivalent. required


• Bachelor's Degree in related field. preferred
• 1-3 years of experience in the healthcare industry or RCM field for medical cash payment posting. required

Knowledge, Skills and Abilities

• Ability to read and understand Explanation of Benefits (EOB).


• Excellent Excel skills.


• Understanding of standard healthcare adjustment codes and remark codes.


• Ability to analyze recoupments, credit balances, and refund requests.


• Familiarity with 835 electronic data files.


• Excellent communication and interpersonal skills, both written and verbal.


• Strong attention to detail and accuracy.


• Ability to work independently and as part of a team.


• Proficiency with computer systems and software, including Microsoft Office and hospital systems.


• Knowledge of HIPAA regulations and compliance.


• Ability to multi-task, prioritize, and manage time effectively.


• Willingness to learn and adapt to new technologies and processes.

Preferred Languages

• English - Expert

Physical Demands

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.

• Standing - Occasionally


• Walking - Occasionally


• Sitting - Constantly


• Talking - Occasionally


• Hearing - Occasionally


• Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients's lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.