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Cash Applications Representative- Physician Billing

Job Ref: 16539

Talent Area: Administrative/Clerical

Houston Methodist Specialty Physician Group
Houston, TX 77030

Area/Department: EPIC-Cash Applications & Sys

Employment Type: Regular

Job Type: Full-Time

Organization: Houston Methodist

Work Shift: DAY

Work Week: M - F

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients.  As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow.  This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care.  Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.

Job Summary


The Cash Applications Representative is responsible for the daily entry, reconciliation, electronic data interchange and analysis of all activity between the bank lockbox and the general ledger. The Cash Applications Representative monitors all payment sources assigned, including any Electronic Remittance Advices (ERAs) and manual transactions to ensure that all payment transactions received from all payor sources are fully accounted for, accurately credited or debited and balanced daily between the bank account, Epic® system, and accounting ledgers. 

The Cash Applications Representative monitors all posting software to ensure that all assigned ERAs received will post appropriately.  The Cash Applications Representative will work with the Cash Applications Supervisor and/or management to resolve any ERA posting issues.    


System and department specific ICARE values

INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.


People 15%
¿ Coordinates with Treasury Management and Financial Accounting to ensure that all debits and credits are accurately reflected in the daily activity  
¿ Coordinates with Single Billing Office (SBO) representatives to resolve cash application discrepancies, as needed
¿ Assists with knowledge sharing, payor and department training, and provide support to other team members as advised by the manager and/or supervisor

Finance 15%
¿ Reviews and enters all transactions from work driver rejections/exceptions
¿ Plays a key role in month end by clearing any assigned tasks for month end, assists with additional research and/or posting as needed to close month properly
¿ Resolves assigned reconciling items to ensure the proper statement of cash in financial reports

Quality/Safety 30%
¿ Monitors the appropriate software tools and reports to ensure that assigned electronic remits are accurately posted
¿ Reviews remittance advices or explanation of benefits received in lockbox correspondence to apply correct contractual adjustment and enters appropriate account status
¿ Resolves any pending electronic transactions upon management¿s request
¿ Researches transactions appropriately to ensure that payments are correctly applied.  
¿ Identifies and resolves unmatched cash transactions in a timely manner. Thoroughly utilizes all available resources to research any potential refund to ensure accuracy and prepares refund requests when appropriate, and consistently follows the Levels of Authority (LOA).
¿ Completes reconciliation of unidentifiable / unmatched cash receipts
¿ Process insurance refunds according to PO policies

Service 30%
¿ Performs imaging functions, as needed
¿ Work correspondence received in lockbox daily
¿ Follows safety guidelines and ICARE / Methodist Values
¿ Participates in educational activities and attend team meetings
¿ Demonstrates the components of The Houston Methodist Experience Service Standards and translates them into specific expectations of staff to anticipate and meet customer service needs
¿ Ensures protection of private health and personal information.  Adheres to all HIPAA and PCI compliance regulations.

Grownth/Innovation 10%
¿ Performs special research and analysis, and conducts special projects, with attention to detail and within designated timeframes, as directed by management
¿ Actively ccommodates new industry technology to maximize work efficiencies


Requires high school diploma or General Equivalency Diploma.


3 years related experience in patient accounting or institutional/professional cash management, in a high volume, fast paced environment

Previous experience with electronic remit processing

Previous experience with bookkeeping or accounting preferred

Previous experience with Epic® preferred


Not Applicable


¿ Knowledgeable of medical terminology
¿ Word processing minimum speed of 50 words a minute
¿ Basic Excel skills
¿ Ability to work independently
¿ Ability to communicate articulately (verbal and written)
¿ Must be analytical and detail oriented
¿ Possesses good organizational skills and can organize tasks, schedule, work area, and ideas to maturity
¿ Possesses the ability to multi-task with effectiveness. Understands the importance of daily work (timeliness, accuracy, productivity, etc.) on department¿s core functions and within established performance standards and expectations
¿ Knowledge of Epic® or professional and hospital system billing software related to cash posting functions
¿ Ability to multi-task in a fast paced environment, prioritize projects and work independently with attention to detail
¿ Demonstrate a high level of professionalism, customer service and interpersonal skills and operate under strict confidentiality due to the significant amount of PHI.
¿ Ability to think critically and identify the global impact across the revenue cycle with a solution oriented approach


Activity Checklist attached (see below)


Office Environment

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of  race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor – priority referral Protected Veterans requested.