RCM QA Specialist - Cash Posting

Quality Review Specialist

Highly motivated Quality Review Specialist who can understand and perform the below responsibilities in conjunction with our internal and external customers on the phone, via software applications and via email.

Responsibilities:

• Accurate posting of payments received from multiple sources for multiple clients.
• Reconciling deposits and resolving complex discrepancies.
• Locating and uploading payment remittance advice (RA).
• Reviewing remittance advice to assure appropriate payments, adjustments, balance transfers and recoupments are completed accurately
• Assists with special projects and compiles reports.
• Responds to inquiries regarding payments and reconciliation.
• Performs quality review on cash posting transactions to assure completed accurately, and according to the procedures established.
• Makes procedure recommendations and updates procedure documents for optimal performance.
• Communicates and works with clients and cross-functional departments to identify potential risks and solutions for performance improvement
• Identifies potential deficiencies in processes via analysis and trends.
• Identifies training needs, provides education, and assists in implementation of procedure changes.
• Assures SLA's and quality of work thresholds are maintained.
• Drives change through collaboration, influence, and partnerships
• Manages workload and completes assignments timely.
• Other tasks and responsibilities as assigned.

Qualifications:

• High school education required
• Associate's or Bachelor's degree a plus
• DME/Respiratory or Enteral experience
• Previous EOB and ERN Cash Posting Experience
• Brightree experience a plus
• Must be a self-starter who can troubleshoot challenges on the fly
• Excellent written communication skills for documenting notes in the clients' system
• Must be able to multitask and work within multiple client databases
• Must be detail oriented and able to work independently and complete tasks in a timely manner
• Strong computer skills, including Microsoft Office and databases

We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world's best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate's geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: $16.98 - $21.22/hr

Joining us is more than saying "yes" to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.