Credit Balance/Refund Specialist

Singing River Health System • Gautier, MS

6d

About The Position

The Credit Balance/Refund Specialist resolves credit balances on patient accounts and unapplied cash postings efficiently and on time. The specialist keeps current with government regulations for credit balances on government accounts and performs adjustments or refunds when appropriate. The role includes preparing a quarterly Medicare report of outstanding account credit balances that appear to be due back to Medicare, and ensuring that account adjustments, refunds, and reports are accurate and timely. The position requires understanding patient accounting; government patient-account covered and non-covered charges; secondary and tertiary coverage; and regulations governing government-account adjustments and refunds.

The role 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. Work is moderately sedentary, with frequent movement around the office and facility and occasional travel to another facility within the SRHS service area. The position involves use of standard office equipment and may involve exposure to body fluids, sputum, and tissues that may carry infectious-disease hazards. Work schedules may change according to hospital needs, including changes to days off, shifts, or weekends.

Requirements

• High school graduation or equivalent.
• Five years of experience in patient accounting preferred.
• 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.
• Complete the appropriate level of de-escalation training by the end of the 90-day position orientation.
• Proficient computer and keyboard skills, including ability to use MS Outlook, Word, and office technology such as telephones and fax machines.
• Strong written and verbal communication skills, including the ability to communicate information in person and by telephone.
• Ability to make assessments and decisions, work under pressure, meet deadlines, maintain attention to detail, and multitask in complex situations.
• Ability to maintain collaborative and respectful working relationships and demonstrate customer service skills and professional etiquette.
• Ability to work assigned schedules, with the understanding that days off, shifts, or weekends may change according to hospital needs.
• Ability to remain active for extended periods without undue fatigue; perceive sound at normal speaking levels; make fine sound discriminations; and maintain close visual acuity and shift focus between a monitor and nearby printed materials.
• Ability to perform repetitive wrist, hand, or finger movements while operating standard office equipment and to frequently move about the office and facility.

Nice To Haves

• Five years of experience in patient accounting is preferred.

Responsibilities

• Resolve credit balances on patient accounts and unapplied cash postings efficiently and promptly.
• Keep current with government regulations regarding credit balances on government accounts.
• Perform patient-account adjustments and refunds when appropriate.
• Prepare the quarterly Medicare report of outstanding account credit balances that appear to be due back to Medicare.
• Process credit balance account adjustments, refunds, and reports accurately and proficiently.
• Ensure the Medicare quarterly credit balance report is filed accurately and on time.

What This Job Offers

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