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WVU Medicine · 1 day ago

Credit Balance Specialist

Core, WV

Full-time

Onsite

Entry Level

1+ years exp

WVU Medicine is a healthcare organization seeking a Credit Balance Specialist. The role involves resolving credit balances and refunds, providing excellent customer service, and participating in performance improvement initiatives.

Health CareHospitalMedical

Responsibilities

Resolves credit balances identified through Epic work queues, an internal credit balance report, billing, cash posting, or payer or patient/guarantor request

Researches refund requests and recommendations as appropriate. Provides complete and accurate disputes when refunds are not warranted

Reviews entire guarantor record to identify accounts across all facility locations with open patient responsibilities and transfers patient payments and/or adjustments when appropriate

Gathers statistics, completes reports and performs other duties as scheduled or requested

Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency

Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth

Attends department meetings, teleconferences and webcasts as necessary

Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts

Provides excellent customer service to patients, visitors and employees

Participates in performance improvement initiatives as requested

Works with supervisor and manager to develop and exceed annual goals

Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information

Qualification

Medical terminologyThird party payorsCollection proceduresAnalytical skillsICS-9CPT codingOralWritten communicationCustomer ServiceProfessional interactionsUse tactDiplomacyDemonstrated customer service relationsUnderstand communication

Required

High school diploma or equivalent

Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift

Visual acuity must be within normal range

Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds for force constantly to move objects

Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment

Professional interactions at all times

Excellent oral and written communication skills

Knowledge of medical terminology

Knowledge of third party payors

Knowledge of collection procedures

Knowledge of ICS-9 and CPT coding

Excellent Customer Service and telephone etiquette

Ability to use tact and diplomacy in dealing with others

Demonstrated customer service relations

Analytical skills necessary for problem solving

Knowledge of Fair Debt Collection Act