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Cash Applications Specialist

Plantation, Florida, United States

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

 

At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.

 

Schedule & Location:

Monday Through Friday From 8 am Eastern Standard Time To 5pm Eastern Standard Time and 8 am Central Standard Time and 5 pm Central Standard Time

It is anticipated that an incumbent in this role will work on-site at our corporate office in Plantation, FL and Overland Park, KS. 

 

Job Description:

The Pharmacy Cash Applications Specialist is responsible for performing the day-to-day prompt and proper daily reconciliation of major medical and pharmacy claims payments for AR related accounts. This position maintains the integrity of cash and A/R transactions to ensure maximum efficiency and accuracy of accounts receivable balances. This position processes ERA, EFT, Lockbox, and maintains petty cash and ensures the work follows all cash related procedures and financial control policies set by the finance department. Performs payment and adjustment posting both electronically and manually. * Responsible for daily scanning of batches as applicable * Processes and apply all daily cash receipts, non-cash transactions, A/R adjustments, denials, write-offs, and credit balance refunds. * Performs miscellaneous job-related duties as requested.  

QUALIFICATION REQUIREMENTS
  • High School diploma or equivalent
  • Minimum 3 - 5 years’ experience in medical/pharmacy setting cash posting
  • Knowledge of Medical terminology
  • Knowledge of Coding ICD-10, HCPCS, CPT, HER
  • Understanding and knowledge of revenue cycle, insurance billing and payment/Banking reconciliation
  • Maintains the strictest confidentiality of patient information in compliance with HIPAA, state and federal regulations
  • Strong verbal and written communication skills to individuals and business at all different education levels
  • Advanced computer skills and knowledge of Microsoft Office (Word, Excel, etc.)

QUALIFICATIONS PREFERRED
  • Certificate, associate degree or bachelor’s degree a plus, but not required 
  • CPR+ Pharmacy Software experience, a plus, but not required Caretend/Weinfuse

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
  • Preparing daily deposits as applicable
  • Maintains daily deposit batch sheets
  • Prepares cash batches by finding the batch and setting it up in the billing system
  • Lock-Box deposits will be received with proper back-up/patient identification
  • Reconcile posted checks received with checks deposited
  • Review a claim rejection/denial, review the EOB, reconcile, make corrections appropriately
  • Post cash and credit card payments to patient accounts and processes, if needed
  • Apply the payments from EOBs, claims and other documents into the billing system to the proper patient account.  Posts refunds and processes per policy.
  • Enters the proper contractual adjustments from the Explanation of Benefits (EOB)
  • Flag all payments that receive a contractual above 10%, denials and other unusual items for the collections department
  • Posting of denials and zero pay
  • Processes all incoming correspondence appropriately
  • Compile and sort documents such as invoices and copies of checks
  • Process write-offs according to internal policies and procedures
  • Communicate with field, pharmacy staff, and patients when needed

NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES
  • Self-motivated and able to work with minimal supervision
  • Ability to prioritize and manage multiple responsibilities in fast-paced environment
  • Problem analysis and assessment
  • Attention to detail and high level of accuracy
  • Teamwork and collaboration
  • Commitment to excellent customer service
  • Ability to meet deadlines

KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS
  • Ability to maintain accurate records and prepare reports and correspondence related to the work. 
  • Excellent verbal, written, and communication skills.

Communication Skills 

  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. 
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. 

Computer Skills 

  • Become and remain proficient is all programs necessary for execution.

 

BioMatrix Pay Range/Rate

$24 - $26 USD

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at Careers@BioMatrixsprx.com or 954.385.7322 x 1425.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

OTHER

  • Will participate in legal and ethical compliance training each year.
  • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures.
  • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual.
  • Will not participate in any conduct considered to be unethical or illegal.

EXPECTATION FOR ALL EMPLOYEES

Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins.

GENERAL INFORMATION:

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate.

Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

 

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