Credit Balance Analyst 1

Carle Health•Champaign, IL

8d•$16 - $26

About The Position

The Credit Balance Specialist 1 position will be responsible for analyzing and resolving overpayments in the self-pay and insurance credit portfolios by performing adjustments and/or refunds. This position will be responsible for understanding and applying payer rules for coordination of benefits, contracting agreements, adjustment/refund review, and credit work queues. This position will be responsible for a basic understanding of Provider Level Balancing (PLBs). The staff will be responsible for answering questions or concerns from patients regarding payments and credits via the billing inquiry process, responsible for answering internal calls from the Cash Management rotation line regarding cash drawers, credit card payments, and various payment issues. This position is required to meet established timelines regarding credit balances.

Requirements

Healthcare
Associate's Degree: Related Field; Experience In Lieu of Education

Responsibilities

Resolves credit balances identified through Epic work queues, an internal credit balance report, billing, cash posting, or payer or patient/guarantor request.
Researches credit inquiries. Approves or declines request as appropriate and provides complete and accurate responses to the requester.
Reviews entire guarantor record to identify account types across all facility locations and service areas with open patient responsibilities and transfers, distributes, or void and reposts patient payments and/or adjustments when appropriate.
Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.
Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
Engages in department meetings, teleconferences, and webcasts as necessary.
Monitors accounts to facilitate timely follow-up and overpayment resolution.
Provides excellent customer service to employees and vendors.
Participates in performance improvement initiatives as requested.
Works with supervisor and manager to develop and exceed annual goals.
Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
Demonstrates a knowledge of hospital and physician billing platforms and understands how to appropriately resolve a credit balance due to voided charges and charge corrections.
Identifies, reports, and works with the Compliance department regarding inaccurate information resulting in Compliance breeches.
Displays a mindset of ongoing optimization and learning within the organization.
Collaborates with various departments to ensure appropriate billing, payment collection, and medical record documentation.
Assists with locating missing charges for allocation of payments.
Answers Cash Management rotation line.
Resolves credits in both HB and PB platforms of Epic.