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Credit Specialist
1 month ago
- Mission
- To inspire health and healing by putting patients first - ALWAYS.
- Position Summary
- The Credit Specialist is responsible for analyzing and resolving a ll credit balances before a refund or adjudication is considered and/or processed.
- Minimum Qualifications
- Education
- High school diploma or equivalent required.
- Credentials
- None
- Education
- Physical Demands
- Stand and/or walk frequently. Sit frequently.
- No lift and/or carry.
- No push and/or pull.
- Visual acuity and manual dexterity within normal limits.
- Bend, stoop, and crouch occasionally.
- Reach floor to overhead occasionally.
- Computer use frequently.
- Essential Functions
- Responsible for all patient and insurance credit balances;
- Consistently works to ensure all credit balances are handled in a timely manner;
- Able to determine why an account has a credit balance with little or no supervision;
- Analyzes the account for posting errors before considering refund/adjudication;
- Searches for other related accounts before refunding private pay credit balances
- Understands managed care contracts, governmental fee schedules and other applicable contractual adjustments;
- Ensures timely processing for credit balances, and posting of appropriate coding for reporting purposes to identifying root cause of credit(s);
- Monitors and reports up to management any trends that are identified;
- Documents accounts accordingly for daily productivity reporting;
- Additional duties as assigned.
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