Credit Resolution Rep- Remote

Ochsner Health•New Orleans, LA

3d•Remote

About The Position

This job is responsible for ensuring the financial security of accounts for patients, including functions associated with credit balances on accounts, both at the insurance and guarantor level. Responsibilities include, but are not limited to, utilizing expected reimbursement calculations to determine if refund is due to insurance companies, correcting of proration and adjustment errors, and trending errors with recommending how to prevent future errors. Refunding process must be followed explicitly to ensure timely and accurate transfer of money.

Requirements

High school diploma or equivalent
2 years’ experience in customer service, healthcare, or leadership OR 1 year of internal company experience with demonstrated success in relevant area
Must have computer skills and dexterity required for data entry and retrieval of patient information.
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
Strong interpersonal skills.
Ability to perform effectively under conditions of fluctuating workload.

Nice To Haves

Bachelor’s degree
Hospital and/or clinic revenue cycle experience and decision making, problem solving, analytical, and quality management skills; billing or financial experience a plus

Responsibilities

Responsible for researching all refund requests.
Accurately and timely handles requests for refunds/identification and correction of credit balances.
Consistently meets production goals as established by management.
Demonstrates competency in federal, state, and third party regulations.
Demonstrate responsibility for professional growth and maintaining required knowledge and skills to perform the duties of the position.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.