Credit Balance Specialist-HB

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• High school diploma or equivalent.

• One (1) year experience in a healthcare setting

• 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.

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in preforming 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.

• Exposed to high stress and constant interruptions.
• Normal business office surroundings.

• 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 ICD-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.
• Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.
• Ability to understand written and oral communication.

Scheduled Weekly

Hours:

40

Shift: Day (United States of America)

Exempt/Non-Exempt:
United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 663 SYSTEM Cash Management