Credit Balance Specialist

WVU Medicine

2d

About The Position

Responsible for resolution of credit balances and refunds.

Requirements

• High school diploma or equivalent.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees