Credit Refund Specialist

Schuylkill • Allentown, PA

24d • Onsite

About The Position

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Reviews and identifies overpayments for self-pay and insurance credit balances processing refunds as appropriate. Ensures compliance with hospital policies and procedures. Works to facilitate resolution of refunds through attention to detail, problem solving initiative, and dedication to efficient service for patients and insurance companies.

Requirements

• High School Diploma/GED
• 3 years physician or hospital billing/insurance follow up experience or 2 years refunding experience utilizing an automated patient accounting system
• Knowledge of insurance companies contracts and regulations.
• Mathematical competency to understand debits, credits, adjustments, and reconciliation.
• Strong analytical, problem solving, and organizational skills.
• Ability to utilize Microsoft Office Suite (Word, Excel, PowerPoint and Outlook).
• Successful completion of DOE and Revenue Cycle Education within 3 months of hire.

Nice To Haves

• Associate’s Degree Healthcare Administration, Finance or Business
• CPAT - Certified Patient Accounting Technician - State of Pennsylvania

Responsibilities

• Identifies and resolves credit balances by utilizing the latest software through assigned work queues.
• Processes self pay and insurance refunds with the goal of account accuracy by documenting actions taken to initiate refund in account history.
• Documents all communications regarding refunds or refund requests in the account history, scanning documentation received to the patient HAR.
• Provides assistance to customer or other PFS areas regarding account reconciliation questions and discrepancies.
• Reviews refund checks issued and records the refund in account history taking the steps necessary to mail the refund with the appropriate documentation.
• Understands all payor contracts to ensure overpayments are refunded to the third party payors validating that patient responsibility is accurately reflected on the HAR.
• Reviews checks that are not cashed through the Escheat process, taking the appropriate action required for resolution.

What This Job Offers

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