Credit Balance/Refund Specialist

Singing River Health System • Gautier, MS

7d • Onsite

About The Position

The Credit Balance/Refund Specialist resolves credit balances on patient accounts and unapplied cash postings efficiently and in a timely manner. The specialist maintains current knowledge of government regulations related to government account credit balances and performs adjustments or refunds when appropriate. Responsibilities include preparing a quarterly report to Medicare on outstanding Medicare account credit balances that appear to be due back to Medicare, and accurately and promptly processing account adjustments, refunds, and reports. The role requires understanding patient accounting, covered and non-covered government patient account charges, secondary and tertiary coverage, and regulations governing government account adjustments and refunds. The specialist ensures accuracy in adjustments and refunds across patient accounts and timely, accurate filing of the Medicare quarterly credit balance report.

The position is based at the Lingle Building and is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. It reports to the Cash Applications Manager and Director of Business Office and has no supervisory responsibilities.

Requirements

• High school graduation or equivalent.
• Complete the appropriate level of de-escalation training by the end of the 90-day position orientation.
• A full understanding of primary, secondary, and tertiary insurance regulations as they relate to primary and secondary billing, reimbursement regulations, and payer responsibilities.
• General knowledge of debit, credit, and adjustment accounting functions.
• Superior customer service skills and professional etiquette.
• Proficient computer and keyboard skills and ability to use office technology, including a telephone, fax, MS Outlook, and Word.
• Strong written and verbal communication skills, including the ability to communicate in person and by telephone.
• Ability to make assessments and decisions, work under pressure, meet deadlines, maintain attention to detail, multitask in complex situations, and maintain collaborative, respectful working relationships.
• Ability to remain active for extended periods and perform the listed physical and sensory demands, including repetitive keyboard use, moving about the office and facility, and close visual work.
• Ability to work assigned schedules, with the understanding that days off, shifts, or weekends may change according to hospital needs.

Nice To Haves

• Five years of experience in patient accounting is preferred.

Responsibilities

• Resolve patient account credit balances and unapplied cash postings efficiently and promptly.
• Maintain current knowledge of government regulations relating to government account credit balances.
• Perform account adjustments and issue refunds when appropriate.
• Prepare quarterly reports to Medicare on outstanding Medicare account credit balances that appear to be due back to Medicare.
• Process credit balance account adjustments, refunds, and reports accurately and proficiently.
• Ensure patient account adjustments and refunds are accurate and the Medicare quarterly report is filed accurately and on time.
• Meet assigned schedules, which may change according to hospital needs, including changes to days off, shifts, or weekends.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED