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The role is responsible for managing follow-up and reconciliation of prescription medication payments, with a focus on resolving unapplied cash and forward balances. This includes investigating payment discrepancies, collaborating with internal teams, and communicating with patients, payers, and providers to ensure accurate application of funds.
Job Responsibility:
Manage follow-up and reconciliation of prescription medication payments
Resolve unapplied cash and forward balances
Investigate payment discrepancies
Collaborate with internal teams
Communicate with patients, payers, and providers to ensure accurate application of funds
Conduct third-party follow-up related to prescription medication dispensing
Identify and process forward balances
Resolve issues with unapplied or recouped payments
Collaborate with cash posting teams
Maintain chronological notes and audit trails
Monitor and report on unapplied cash trends
Research and respond to insurance companies regarding payment discrepancies
Contact patients, physician offices, and insurance companies
Escalate unresolved items to appropriate departments
Respond to internal inquiries
Participate in process improvement initiatives
Requirements:
Experience in cash posting, reconciliation, or revenue cycle operations preferred
Familiarity with systems such as SharePoint workflows, and Microsoft products
Strong analytical and problem-solving skills
Ability to work independently and manage multiple priorities
Excellent communication and documentation skills
Demonstrated verbal communication and phone etiquette
Comfortable engaging with patients and payers over the phone to resolve account issues
High School Diploma or Equivalent
Nice to have:
Knowledge of credit balance resolution, including recoupments, refunds, and write-offs
Understanding of payer and patient payment workflows
Experience working with aged accounts and financial reporting
Insurance billing or collections experience
Customer service experience in a healthcare environment
Familiarity with healthcare reimbursement systems
Effective team collaboration and customer service skills
Strong attention to detail and ability to prioritize multiple tasks
Professional verbal and written communication skills
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