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Credit Bal Resol Specialist I
2 months ago
Position Summary:
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Floridas east to west coasts and beyond.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. Orlando Health Is Your Best Place to Work is not just something we say, its our promise to you
The Credit Balance Resolution Analyst focuses on resolving credit balance issues. The Credit Balance Resolution Analyst reviews data to determine the corrective action needed and submits appropriate documentation to bring the account to resolution.
Responsibilities:
Determines if the payments received are correct and then determines the appropriate steps for resolution, including (but not
limited to) refund payment, transfer, and adjustment.
? Review entire guarantor record to identify accounts across all facility locations with open patient responsibilities and transfers patient payments when appropriate.
? Key and/or import refunds and payment transfers accurately into the designated Patient Accounting system daily.
? Apply credit balance reconciliation changes and updates according to any internal or regulatory guidelines at the federal, state, and local levels.
? Coordinate and collaborate with Patient Accounting areas for proper information and communication when resolving credit
balances.
? Verify and update insurance when necessary to assure correct contractual adjustment is applied.
? Effectively and accurately utilize the computer system to enter appropriate information.
? Reconcile refund entries on patient accounts to A/P checks processed; correct any errors and obtain proper authorization for any refund processed.
? Report trends and issues identified during account analysis to management for additional review and resolution; including those
relating to payment posting, billing, payer reimbursement, and compliance.
? Maintain necessary logs and monthly performance standards to assure department goals are met.
? Maintain reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
? Maintain compliance with all Orlando Health policies and procedures.
Qualifications:
Education/Training
? High school or GED equivalent required.
? Intermediate computer skills and proficiency in Microsoft Office Suite, specifically Word and Excel.
Licensure/Certification
None.
Experience
? Two (2) years experience in a related field (medical billing/collections/managed care/accounting).
? Ability to perform 10-key by touch. Ability to perform both written and verbal communication skills effectively.
? Ability to perform routine mathematical function
Insurance A/R experience preferred
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