Job Description

Account Reconciliation, Rep

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Job Overview

The Account Reconciliation Specialist provides reconciliation and resolution to all CTCA hospital and physician accounts and is the sole stakeholders who make all necessary adjustments to a Patients Account.  The Account Reconciliation Specialist complete all centralized adjustments for Patient Accounts and are responsible for all manual post billing adjustments to a patients account. The Account Reconciliation Specialist research account adjustments by performing the following: review of all applicable EOB’s, review of all payments, review of CTCA Contractual agreements and Patient specific agreements. The Account Reconciliation Specialist have extensive knowledge of each site’s Financial Policies and apply adjustments according to the guidelines outlined per the policies.  The Account Reconciliation Specialist are responsible for adding statement messages to accounts for proper receipt of statements and adjusting to correct Financial Class. The Account Reconciliation Specialists  report directly to the Account Reconciliation Supervisor.

Job Accountabilities

1.  

  • Researches and reconciles accounts for all CTCA entities and applies adjustments as appropriate.
  • Contacts insurance carrier when needed to expedite research of payments or audits.
  • Notifies Supervisor of any large balance adjustments. 
  • Reviews and completes adjustment logs supplied from the AMS team per established departmental guidelines
  • Ensures all Payment Processing batch adjustments are completed per established guidelines
  • Ensures all adjustments are keyed prior to month end close.
  • Reconciles cash application to the cash unidentified account, using balancing and research process. 
  • Performs Financial Class changes per the adjustment outcome
  • Applies account messages for proper patient statement distribution

2.  

  • Interprets and reviews EOBs and remittances per patient to accurately enter adjustments to the patient account for all entities
  • Ensures all adjustments are keyed according to the specific contract with the payer by entity, specific patient agreements and/or Financial Policy per entity.
  • Calculates and applies matching adjustment per the EOB interpretation and patient benefit information.
  • Contacts and communicates closely with the Insurance companies to ensure proper adjustments are reflected on a patient’s account.
  • Communicates with AMS Stakeholders to obtain Financial Hardship, Single Case Agreement and other patient specific adjustment agreements.
  • Maintains and applies this information to the patient account.

3.  

  • Collaborates with Account Management Specialists, Insurance Billers, Insurance Verifiers and Payment Processors to discuss and resolve any payment and/or adjustment issues. 
  • Capable of performing cash application and credit balance analyst functions as requested

Education/Experience Level

  • Must be a High School graduate or equivalent with strong analytical skills. Associate Degree Preferred.
  • Must have minimum of 3-5 years A/R experience in a hospital or physician healthcare setting or similar customer service position.

Knowledge and Skills

  • Must have good written and verbal communication skills.
  • Must be analytical
  • Knowledge of PC and other office equipment with Windows experience a plus.
  • Must have experience with ICD-9 coding, insurance terminology and ability to read an Explanation of Benefits.
  • Must have outstanding telephone communication and customer service skills.
  • Must be efficient, reliable, goal orientated and adaptable to change while maintaining productivity levels.
  • Must be able to perform routine mathematical, color coding and alphabetizing functions.
  • Must have excellent organizational skills, and be able to manage multiple priorities.
  • Must be Team oriented.
  • Must be courteous and professional.
  • Must be capable of operating all required computer applications
  • Maintains accurate patient demographics and insurance information
  • Routinely updates account comments of each account worked.

#CB

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We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit:  Jobs.cancercenter.com to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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