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MUSC Health · 5 hours ago

Credit Processor

Charleston, SC

Full-time

Hybrid

Entry Level

1+ years exp

MUSC Health is a leading healthcare provider and is seeking a Credit Processor to manage undistributed and credit transactions within the EPIC system. The role involves processing various levels of transactions, verifying insurance and patient information, and maintaining accuracy in audits and productivity metrics.

Health CareHospitalMedical

No H1B

Responsibilities

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

Maintain department’s current Completed Account Contribution totals daily, weekly, monthly. (Productivity)

Maintain >=97% accuracy rate on audit reviews

Review and process weekly HPF Insurance Refund Request Letters to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations

Review returned refunds; verify information pertaining to the reason of the return and/or consult with other departments when their refunds are returned for resolution

Process the cancellations 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

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.

Founded in 1824

Charleston, South Carolina, USA

10001+ employees