Credit Processor I
Credit Processor I
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Job Description
Job Description Summary
The Credit Processor diligently follows the workflows established to properly research analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers posting offsets refunds etc.). Will use available resources: Workflows Email Excel Word Fee Schedules etc. to 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. The ability to be accountable adaptable and flexible to changes to processes assigned tasks and meet set deadlines.Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker SubType
RegularCost Center
CC005226 SYS HB Support ServicesPay Rate Type
HourlyPay Grade
Health20Scheduled Weekly Hours
40Work Shift
Job Description
Entity/Organization: MUSC Physicians (MUSCP)
Hours per week: 40
Scheduled Work Hours/Shift: Monday Friday 8:00am 5:00pm
Pay Basis/FLSA: Hourly/NonExempt
Remote Option:This position offers a remote work schedule
Required Minimum Training and Education: High school diploma and oneyear revenue cycle work experience required. Prior account analysis credit resolution billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances and Epic system knowledge helpful. Must have excellent organizational analytical and communication skills. Desired candidates are dependable; team focused goaloriented individuals with a strong work ethic and positive attitude.
Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager.
Required Licensure Certifications Registrations:N/A
Job Duties and Responsibilities:
- Undistributed/Overposted (credit) transactions. Process undistributed and credit transactions through assigned work queues or reports according to departments 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 departments 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 RefundsCredit 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.
Physical Requirements: Continuous requirements are to perform job functions while standing walking and sitting. Ability to bend at the waist kneel climb stairs reach in all directions fully use both hands and legs possess good finger dexterity perform repetitive motions with hands/wrists/elbows and shoulders reach in all directions. Maintain 20/40 vision corrected see and recognize objects close at hand and at a distance work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (/) unassisted. Lift from 36 to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces.
Additional Job Description
High school diploma and oneyear revenue cycle work experience required. Prior account analysis credit resolution billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances and Epic system knowledge helpful. Must have excellent organizational analytical and communication skills. Desired candidates are dependable; team focused goaloriented individuals with a strong work ethic and positive attitude.
If you like working with energetic enthusiastic individuals you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.
Medical University of South Carolina participates in the federal EVerify program to confirm the identity and employment authorization of all newly hired employees. For further information about the EVerify program please click here:
Employment Type
Full-Time
Key Skills
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