Credit Specialist

2 weeks ago

Middle River, United States Johns Hopkins University Full time

We are seeking a**_ Credit Specialist_** who will be responsible for the processing of refunds and the resolution of credit balances. This position will analyze the EPIC billing system to assure accuracy of payment posting and third-party reimbursement. Credits will be appropriately investigated and processed following proper accounting methods and established procedures. The Refund/Credit Balance Specialist will interact with physicians, administration, clinical, accounting and PBS personnel to resolve credit balance issues. Strict confidentiality of patient information, including charges, treatment plans and diagnosis will be maintained.

**Specific Duties & Responsibilities**
- Procedural Knowledge_
- Responsible for the processing of refunds and resolving credit balances.
- Prepares check requests via EPIC and SAP System for accounts payable department.
- Exchanges information with individuals outside the assigned department or institution.
- Ability to research and answers refund questions.
- Responsible for the reconciliation of refunds and wire transfers to the EPIC billing system and the university revenue accounts.
- Interacts closely with the Reconciliation and Payments staff when credit balance problems occur.
- Accurately maintains online Refund Distribution Sheets.
- Assists with payment posting and month-end closing.
- All governmental refunds must be processed in thirty days or a comment placed in EPIC on the invoice.
- Verify accuracy of refund checks and posts refund debit to the EPIC system.
- Research and resolves "Suspense Postings", by contacting third party payers, JHH and other entities, by phone and in writing, to determine the correct destination for payments.
- Technical Knowledge_
- Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
- Exercises discretion and judgment in the resolution of credit balance issues.
- Provides feedback regarding problems to management.
- Working knowledge of JHU/ PBS Billing Applications.
- Professional & Personal Development:

- Participate in on-going educational activities.
- Assist in the training of staff.
- Keep current of industry changes by reading assigned material on work related topics.
- Complete three days of training annually.
- Department Specific Responsibilities_
- Service Excellence_
- Must adhere to Service Excellence Standards.
- Customer Relations
- Self-Management
- Teamwork
- Communications
- Ownership/Accountability
- Continuous Performance Improvement


**Minimum Skills & Abilities**
- Good organizational skills, ability to interact effectively and strong analytical skills required.
- Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
- Physical requirements for the job:

- Able to sit in a normal seated position for extended periods of time.
- Able to reach by extending hand(s) or arm(s) in any direction.
- Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
- Able to communicate using the spoken and written word.
- Able to see within normal parameters and to hear within normal range.
- Able to move about.
- Able to lift minimum weight, 10 lbs.

**Minimum Qualifications**
- HS/GED required.
- One year experience in medical billing or in a medical specialty area is required.
- Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula

**Preferred Qualifications**
- One year of payment posting or refund/credit balance experience preferred.
- Knowledge of professional fee billing preferred.
- Good written and verbal communication skills preferred.

Classified Title: Refund Specialist
Job Posting Title (Working Title): Credit Specialist
Role/Level/Range: ATO 40/E/02/OC
Starting Salary Range: $15.50 - $25.00 HRLY ($42,120 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F 8:30AM - 5PM
Exempt Status: Non-Exempt
Location: Hybrid/JH at Middle River
Department name: SOM Admin CPA Refunds
Personnel area: School of Medicine

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