[Hiring] Charge Review Cash Posting Representative @Franciscan Medical Group

Role Description

As a Charge Review Cash Rep, you will be a central figure responsible for the accurate and timely capture of all billable services and procedures, directly impacting our revenue cycle and ensuring appropriate reimbursement. You will play a vital role in optimizing financial performance and maintaining billing compliance.

• Review, correct, and process paper-based and electronically transmitted encounter data, charges, and account information to ensure billing accuracy, compliance, and timely reimbursement.
• Post and reconcile insurance and patient payments, adjustments, write-offs, EFTs, EOBs, and ERAs while validating accuracy and applying knowledge of payer contracts, benefits, and reimbursement guidelines.
• Research, analyze, and resolve complex billing, payment transfer, and account discrepancies using critical thinking and problem-solving skills, escalating issues as appropriate and notifying leadership of ongoing concerns.
• Maintain accurate account documentation, activity records, posting logs, and cash handling audits while ensuring confidentiality, data integrity, and adherence to organizational policies and procedures.
• Meet established productivity and quality standards through timely charge corrections, payment posting, account review, and proactive identification of issues that may delay billing or reimbursement.
• Serve as a lead resource by assigning and reviewing work, training and mentoring staff, assisting with hiring and onboarding, supporting quality reviews, implementing process improvements, and resolving escalated account issues within scope of authority.

Qualifications

• Strong medical terminology background.
• Robust coding knowledge (CPT, HCPCS, ICD-10).
• Exceptional attention to detail.
• Proactive approach to resolving charge capture issues.
• Strong analytical and communication skills.
• Ability to thrive in a fast-paced environment dedicated to financial accuracy and compliance.

Requirements

• Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
• Post-high school education in a field (e.g. medical billing) that would demonstrate attainment of the requisite job knowledge/abilities may be substituted, upon hire.
• Lead: One additional year of related work experience.
• None, upon hire.