Scope:

Responsible for managing the daily functions of the Cash Applications department in accordance with RC Billing’s standards and reimbursement policy and procedures. Directly supervises cash applications to ensure timely and accurate posting, generates weekly and monthly reports and ensures their accuracy; solves problems and improves efficiency to the business office operations while ensuring benchmarks are obtained per client and ensuring client satisfaction.

Responsibilities: 

• Directs the daily operations of the cash application department to ensure accuracy and timeliness. 
• Demonstrates thorough understanding of and oversees all aspects of monitoring and interpreting insurance reimbursements and implementing procedures that ensure optimum collection in a matter complaint with federal and state regulations and RC Billing's P&P's. 
• Ensures daily accurate and timely (within 2 business days of receipt) line item posting of denials/zero payments received from the payers to include posting the appropriate denial reason. 
• Ensures daily accurate and timely (within 2 business days of receipt) line item posting of all receipts received from payers to include the appropriate contractual adjustments, filing of secondary's accurate release to patient responsibility, etc. 
• Ensures daily and timely (within 2 business days of receipt) accurate line item posting of approved adjustments received from AR to include client approval when required. 
• Ensures timely daily resolution of any unidentified receipts.
• Ensures timely recognition of client ERA issues and works directly with RC Billing Support, EDI Depts., Credentialing & Contracting Dept., and Waystar/Practice Insight for immediate resolution.
• Ensures that a Daily Receipt Log for each client is maintained daily, balanced and accurate for weekly reporting to each client.
  

• Ensures that clients receive accurate and timely weekly reports.
  

• Schedules by the 2nd business day of each month and directly oversees month-end system closes; ensures that all areas meet cutoff and ensures client monthly reporting packages are generated within 2 – 3 days of close and disseminated accordingly to the clients.
  

• Works directly with client banking and client to ensure timely receipt of lockbox and/or seeks resolution to any issues relating to a client’s deposit.
  

• Ensures that processes are in place to identify payments received are in accordance with the clients contracted fee schedules.
• Works in conjunction with the President of RCB with new client go lives.
  

• Works directly with clients and client preferred banking to assist the client in establishing and setting up new lockbox services.
  

• Oversees daily communication between CBO team and client practices.
  

•  Communicates with clients as necessary, not less than monthly, to include physicians, administration and business departments.  Schedules and participates in monthly conference calls with clients to discuss the prior month’s financials, issues identified, issues resolved, etc.
  

• Implements and ensures compliance with RC Billing Reimbursement Policies and Procedures to maximize efficiency.  Ensures compliance with appropriate industry regulations and State and Federal regulations.
  

• Ensures computer master parameters including CPT-4 and ICD-10 code files, fee schedules, insurance, physician, etc. are accurate.  Works with the EDI Dept. for updates and file maintenance.
  

• Supervises business office staff; assists with developing and attaining performance goals and objectives.  Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
  

• Ensures that all applicable cash application dept. policy and procedures are current and policies are updated with any warranted changes and sent to the President for final approval then implements with the cash application dept. staff.
  

• Maintains working day to day knowledge of the practice management system.
• Maintains working knowledge of applicable laws and regulations as they relate to assigned responsibilities
• Maintains working knowledge of Medical and Radiation Oncology billing guidelines.
• Maintains confidentiality of all information related to patients, medical staff, finances and cost effective health care delivery issues.
• Strives to achieve and maintain company Days Sales Outstanding, Account Receivable Aging standards and Collection Percentages per client.
  

• Assists in the development of and primary responsibility for maintaining productivity standards relating to Cash Application, Accounts Receivable resolution, Claim Submission and other related CBO tasks.
  

• Training of reporting employees of areas as assignment through job focus.
  

• Other duties as assigned.