Credit Processor jobs in United States
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MUSC Health · 2 months ago

Credit Processor

MUSC Health is a leading healthcare organization, and they are seeking a Credit Processor to manage and resolve credit transactions within the EPIC system. The role involves verifying insurance and patient information, processing transactions, and maintaining accuracy in audits and departmental contributions.

Health CareHospitalMedical

Responsibilities

• Undistributed/Overposted (credit) transactions. Process undistributed and credit transactions through assigned work queues or reports according to department’s workflows. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc). Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. Verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken
• Completed Contribution Average. Maintain department’s current Completed Account Contribution totals daily, weekly, monthly. (Productivity)
• Audits. Maintain >=97% accuracy rate on audit reviews
• HPF Insurance Refund Request Letters WQs. Review and process weekly to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations
• Returned Refunds-Credit Processors will review; verify information pertaining to the reason of the return and/or consult with other departments when their refunds are returned for resolution. Process the cancelations to repost, reissue, and apply to escheatment or MISC Income for resolution

Qualification

EPIC system knowledgeAccount analysisCredit resolutionBilling experienceInsurance follow upAnalytical skillsOrganizational skillsCommunication skillsTeam focusedGoal-orientedWork ethicPositive attitude

Required

High school diploma
One-year revenue cycle work experience
Excellent organizational skills
Excellent analytical skills
Excellent communication skills

Preferred

Prior account analysis experience
Credit resolution experience
Billing experience
Insurance follow up experience in a hospital or physician office setting
Working knowledge of insurance payor remittances
Epic system knowledge
Dependable
Team focused
Goal-oriented
Strong work ethic
Positive attitude

Company

MUSC Health

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MUSC Health provides health-care services through its patient- and family-centered care, education, research, and various partnerships. It is a sub-organization of Medical University of South Carolina.

Funding

Current Stage
Late Stage
Total Funding
$133M
Key Investors
Armadale Capital
2019-12-19Debt Financing· $133M

Leadership Team

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Erik Summers
Chief Medical Officer
Company data provided by crunchbase