Job Details

About AmeriPharma

AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.

Job Summary

The primary function of the cash poster is to reconcile all reimbursement provided by health plans and patients, to the drugs and services rendered.

Schedule Details

Location: On-Site, Laguna Hills CA.

Hours: Monday-Friday 8:30AM-5:00PM

Duties and Responsibilities

• Compile and sort documents such as remittance notices, copies of checks and treasury reports.
• Actively update and maintain cash posting reports.
• Perform NCPDP payments for batch posting on a weekly basis.
• Utilize external commercial, governmental, and third-party web portals to gather supporting remittance information for payment reconciliation.
• Ensure all payments received from payers are posted to patient claims/invoices with accurate information such as posted date, date paid, check number, and amount paid.
• Reconcile posted checks with payments received/deposited.
• Investigate long/unreceived expected insurance payments.
• Review EOB statements, post claim denials and underpayments to accounts and collaborate with Billing to facilitate timely claim follow-up and billing/collections resolutions.
• Verify that all EFT deposits and scanned checks have been posted on time.
• Accurately transfer balances to secondary payers, copay assistance or patients' accounts.
• Facilitate balance billing by transferring copay/deduct balance and assigning to designated Collectors.
• Utilize the Billing Notes to document any follow up or cash posting transactions with relevance to Billing & Collections processes.
• Escalates to management any unresolved issues affecting cash posting and accounts receivable performance.
• Provides the highest level of customer service in answering patient phone calls and swiftly resolve patients' questions, communicate with doctors' offices and their staff.
• Identifies and communicates to the management team any incomplete or inaccurate billing related datasets resulting in billing errors and process delays in a timely manner.
• Ensures compliance with all payer rules and regulations.
• Ensure all claim fees are appropriately applied to reconcile payment within EDI.
• Other duties as assigned.

Required Qualifications

• Ability to read, write, speak, and understand the English language
• Ability to accurately reconcile payments once cash postings are completed
• Strong organizational skills and ability to manage large amounts of data
• Excellent time management, communication, interpersonal, multi-tasking and prioritization skills
• Ability to work independently with minimal guidance
• Ability to type with minimal errors
• Ability to read, comprehend, analyze, and interpret data
• Ability to work the hours that will ensure all projects and duties are completed in a timely manner.
• Must be able read and interpret EOB's
• Knowledge of electronic remit notices and auto posting.
• Advanced knowledge of Word, Excel and Outlook functions.

Education and Experience Requirements

• High School diploma or equivalent
• 2+ years of cash posting or accounts receivable experience

Preferred Qualifications

• Previous Medical Reimbursement Posting Experience
• Pharmacy NCPDP Posting Experience

AmeriPharma's Mission Statement

Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!

Physical Requirements

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. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.

EEO Statement

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.