CREDIT BALANCE (12427)

CULLMAN REGIONAL•Cullman, AL

1d•Onsite

About The Position

Pull the credit balance report daily to determine any accounts that can be quickly resolved. Determine if the credit is due back to the patient or can be transferred to an existing open account. Research insurance situations to determine if any actual over payment occurred or has been created due to a posting issue. If a posting issue, forwards to the posting supervisor for resolution. Research actual insurance credits to determine if there are duplicate payments or COB issues. Work with patients and their insurance company to resolve any eligibility or COB issues. For patient or insurance checks, prepare signature page with documentation for director approval. Work the high dollar report and identify any potential reversals that can be resolved before month-end and forward results to posting supervisor and director for review. Accurately and thoroughly document all pertinent events regarding the handling of the patient account. Demonstrate and encourage team behavior and exceptional patient/guest experiences. Uphold and promote patient safety and quality.

Requirements

High school education or equivalent required.
2 years' hospital business office or physician office experience required.
Knowledge of basic insurance principles required.
Proficient in Microsoft Office suite of products.
Detail oriented.
Able to conduct extensive research to determine appropriate party to refund.

Responsibilities

Pull the credit balance report daily to determine any accounts that can be quickly resolved.
Determine if the credit is due back to the patient or can be transferred to an existing open account.
Research insurance situations to determine if any actual over payment occurred or has been created due to a posting issue.
Forward posting issues to the posting supervisor for resolution.
Research actual insurance credits to determine if there are duplicate payments or COB issues.
Work with patients and their insurance company to resolve any eligibility or COB issues.
Prepare signature page with documentation for director approval for patient or insurance checks.
Work the high dollar report and identify any potential reversals that can be resolved before month-end.
Forward results of high dollar report to posting supervisor and director for review.
Accurately and thoroughly document all pertinent events regarding the handling of the patient account.
Demonstrate and encourage team behavior and exceptional patient/guest experiences.
Uphold and promote patient safety and quality.