JOB DESCRIPTION OVERVIEW:
The Cross Coverage Representative is responsible for providing support as needed to Patient Accounts, Payment Processing and Overprovisions. The Cross Coverage Representative must possess a comprehensive knowledge and be able to perform duties related to all areas.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
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Processes credit balances for insurances and guarantors as mandated by internal and HCFS policies.
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Approves guarantor and insurance refunds.
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Handles correspondence related to credit balances as well as telephone inquiries.
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Processes transfer of payment and cancelled check research forms.
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Researches unidentified logs and reports to determine appropriate application of payments identified.
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Participates in unit progress meetings with staff regarding Overprovisions, Patient Accounts and Payment Processing.
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Notifies manager of any unusual circumstances regarding Overprovisions, Patient Accounts and Payment Processing.
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Downloads bank reports and completing other payment processing functions.
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Posts all group lockbox receipts and all rejections listed on payment remits in IDX as assigned.
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Maintains daily log of all posted batches via manual and/or generated ERA.
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Reports any errors or problems that affected payments. Adjustments or rejections from being applied to the invoice(s) correctly.
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Performs other duties and assignments as requested.
