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Accounts Receivable Clerk Job

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CVS Health
Monday, January 21, 2013
Sunday, February 17, 2013
Job Type
Employment Status

Further information

Responsible for final post payment audit of third party claims for accuracy. Works with management to reduce write-offs and adjustments to financials. Computes, classifies and records numerical data watching for trends in adjustments that signal product or code selection errors. Performs any combination of routine calculating, posting and verifying duties for maintaining accounting records.
Internal Audit/Posting employee reports directly to the Internal Audit / Posting Manager
?Allocating facility payments.
?Post payments to correct facility accounts.
?Verify that facility accounts are paying correctly according to the invoices.
?Write up refund requests to facilities when overpayment occurs or apply overpayment to future invoices depending on what the facility prefers.
?Help prepare monthly statements to Facility/Cash accounts.
?Balance cash deposits.
?Allocating Third Party payments.
?Post payments to correct third party accounts.
?Verify that all items on invoice were billed and billed with appropriate HCPC code for item being shipped.
?Post discounts when appropriate.
?Create allowable invoices when appropriate.
?Notify Internal Audit Manager when reimbursement is below or above expected payment.
?Balance Third Party deposits.
?Identifying denied or inappropriately processed claims.
?Denied claims give back to Third Party billers to research.
?Identify incorrectly processed claims, (whether it be from coding error, incorrect number of units, etc.). Give these claims back to the billers with corrections to have claims replaced or adjustments sent to carriers to ensure correct payment of services.
?Request refunds to Third Party carriers when appropriate.
?Research Aging claims to determine why claims are unpaid.
?Review the Aging Report to identify problem claims with charges over 90 days old.
?Pull files and review invoices to determine which invoices are unpaid.
?Research invoices for possible Billing & Posting errors.
?Contact carriers to determine if claim has been adjudicated by them.
?Gather payment or denial documents and review denial reasons to determine corrections needed.
?Have Third Party billers re-process all billable services back to the carriers for proper reimbursement or update Internal Audit Manager of internal corrections needing to be made.
?Analyze reimbursement issues, fee schedules and paid amounts and their impact on company profitability.
?Help in processing Return Orders in a timely manner.
?Review Return Order to determine course of action.
?Create Credit Memo and apply appropriately.
?Correction Forms
?Correct information on invoices that are under the wrong class. Split invoices between different payer sources.
?Transfer products between third party invoices and cash/facility accounts.
?Verify totals are correct on all places for both insurance and cash.
?Verify we have all necessary copies of checks.
?Correct errors on deposit.
?Transfer deposit to appropriate personnel.
?Cash Invoices
?Verify system amount and paper invoice are identical.
?Review for overpayments on accounts.
?Print copy of invoice to mail.
?Stuff and mail / twice daily.
?Collection of cash / facility accounts
?Call on 60 day past due amounts.
?Maintain spreadsheet of call results.
?Other Duties as assigned.

Detail oriented, analytical approach to problems with 2 -3 years experience with insurance claims posting. DME or third party billing, bookkeeping, good math aptitude and accounting experience. Requires knowledge of department, company and Compliance processes and procedures.

Division: Hunter Hamilton
Job ID: 500132701

CVS Health