Credit Balance Specialist-PB

WVU MedicineHome Work - Monongalia County WV (Local), WV
Onsite

About The Position

Responsible for resolution of credit balances and refunds.

Requirements

  • High school diploma or equivalent.
  • Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in preforming duties throughout the work shift.
  • Visual acuity must be within normal range.
  • Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds for force constantly to move objects.
  • Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
  • Professional interactions at all times.
  • Excellent oral and written communication skills.
  • Knowledge of medical terminology.
  • Knowledge of third party payors.
  • Knowledge of collection procedures.
  • Knowledge of ICS-9 and CPT coding.
  • Excellent Customer Service and telephone etiquette.
  • Ability to use tact and diplomacy in dealing with others.
  • Demonstrated customer service relations.
  • Analytical skills necessary for problem solving.
  • Knowledge of Fair Debt Collection Act.
  • Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.
  • Ability to understand written and oral communication.

Nice To Haves

  • One (1) year experience in a healthcare setting

Responsibilities

  • Resolves credit balances identified through Epic work queues, an internal credit balance report, billing, cash posting, or payer or patient/guarantor request.
  • Researches refund requests and recommendations as appropriate. Provides complete and accurate disputes when refunds are not warranted.
  • Reviews entire guarantor record to identify accounts across all facility locations with open patient responsibilities and transfers patient payments and/or adjustments when appropriate.
  • Gathers statistics, completes reports and performs other duties as scheduled or requested.
  • 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.
  • Attends department meetings, teleconferences and webcasts as necessary.
  • Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.
  • Provides excellent customer service to patients, visitors and employees.
  • 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.
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