[Hiring] RCM QA Specialist - Cash Posting @ResMed

Role Description

• Accurately and timely post cash payments received from various sources, including insurance companies, patients, and other payers, into the billing system.
• Conduct thorough cash posting and denial posting processes, ensuring accuracy and adherence to established procedures.
• Reconcile accounts and resolve discrepancies in cash postings to ensure accurate financial records.
• Maintain a comprehensive understanding of US payer contracts, EOB/ERA codes, and adjustments to accurately apply payments and adjustments.
• Stay updated with changes in reimbursement policies, payer contracts, and industry regulations related to cash posting.
• Maintain documentation of cash posting processes, procedures, and payer-specific guidelines.
• Participate in team meetings and provide input for process improvement initiatives.

Qualifications

• Required: 2 years of hands-on experience in revenue cycle management, with a focus on cash posting.
• Good knowledge of cash posting and denial posting processes.
• Well-versed in US payer contracts, EOB/ERA codes, and adjustments.
• Good written and verbal communication skills, with the ability to effectively communicate with internal teams and external stakeholders.
• Detail-oriented with strong analytical and problem-solving skills.
• Ability to work independently and in a team-oriented environment.
• Strong organizational skills with the ability to prioritize tasks and meet deadlines.
• Proficient in using computer applications, including MS Excel and billing software.
• Up-to-date knowledge of industry regulations and changes in reimbursement policies.
• Preferred: Bachelor’s degree.
• 2 years of related experience.
• Experience required within DME/HME specialty.
• Proficiency in using Brightree software is highly preferred.

Benefits

• Joining us is more than saying “yes” to making the world a healthier place.
• Discover a career that’s challenging, supportive, and inspiring.
• A culture driven by excellence helps you not only meet your goals but also create new ones.
• Focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace.
• Thrive on the innovative ideas this generates.
• We commit to respond to every applicant.