Managed Care Cash Poster

CommuniCare Health Services Corporate -

Since 1984, the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.

Our more than 150 skilled nursing, assisted living, independent living, behavioral health, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time.

CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania).

Due to continued growth, CommuniCare Health Services is currently recruiting for a Managed Care Cash Poster to join our team.

PURPOSE / BELIEF STATEMENT

The Managed Care Cash Poster position is responsible for timely and accurate posting of all payments received for managed care.

This position also posts zero (take back) remits and will need to track any outstanding recoupments that are pending but not funded.

WHAT WE OFFER

As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers.

We also offer 401(k) with employer match and Flexible Spending Accounts.

JOB DUTIES & RESPONSIBILITIES

• Cash posters will be assigned to specific payers. The expectation of this role is for the team member to be the expert of their payers for cash posting and also understand the various nuances in remittance advices, benefits, and networks.
• Work closely with Cash Collections Support team on zero remits received or recoupment notifications received so that Cash Collections can review the accounts being recouped timely.
• Submit to the Team Lead any requests for ERA / EFT enrollment to ensure these are requested and set up in a timely manner.
• Work closely with cash reconciliation team within revenue cycle.
• Identify issues with payments received, such as payment on incorrect NPI, TIN, or addresses, and update cash smartsheets for acquisition buildings for money owed to or from.
• Have all bank funded cash received during the month posted by month end close.
• Compile and save all back up data for cash posted, while following current policy and process in place or any new process that is implemented.
• Attend, Participate, and / or Lead facility Educational In-services when appropriate.
• Attend all required in-service and training programs required within your department.
• Perform other related activities as assigned or requested.
• Promptly reports any suspected resident financial abuse or billing fraud to supervisor immediately.

QUALIFICATIONS & EXPERIENCE REQUIREMENTS

• High School graduate or GED required.
• Prior Work / Life experience, preferably in a long term care setting.
• Prior work / life experiences, preferably in a healthcare setting.
• Prior experience preferably with related software applications.

KNOWLEDGE / SKILLS / ABILITIES

• Knowledge of medical billing / collection practices.
• Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.
• Must have a high degree of attention to detail.
• Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.
• Strong mathematical, written, and verbal communication skills.
• Basic computer literacy and skills.
• Strong organizational skills a must.
7 days ago