drjobs Credit Resolution Specialist

Credit Resolution Specialist

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1 Vacancy
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Job Location drjobs

Greensboro, NC - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

The Credit Resolution Specialist is responsible for accurately analyzing and performing the appropriate disposition of all revenue cycle credit balances and refund requests. Working under minimal supervision this role ensures that the disposition of credit balances are completed as defined in all Contractual Regulatory and Corporate Compliance requirements.

Responsibilities


Analyzes account credit balances for accuracy ensuring compliance with regulatory laws and hospital contracts.
Reviews and processes selfpay and insurance refunds within specified timeframes posts adjustments accurately
Promptly responds to correspondence regarding patient accounts evaluating priorities and organizing time to ensure timely completion of required activities.
Follows procedures for documenting verifying and processing refund requests ensuring accuracy before submission.
Maintain acceptable level of quality and production standards as determined by supervisory review and audit of assigned account categories.
Notifies manager of possible or potential issues that may result in delays in processing credit balances
Accurately identifies all credit balances that must be reported to government agencies.
Prepares and submits the credit balance logs quarterly as mandated by federal /state regulations.
Maintains a working knowledge of payor reimbursement and associated reimbursement policies.
Performs other duties as assigned.

Qualifications


EDUCATION:Required: High School Diploma or equivalent
EXPERIENCE:Required: 3 Years
LICENSURE/CERTIFICATION/REGISTRY/LISTING:

Required Experience:

Unclear Seniority

Employment Type

Full-Time

Company Industry

About Company

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