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Credit Balance Resolution Specialist

2 months ago

San Antonio, Texas, United States South Texas Radiology Group Full time
Job Title: Credit Balance Resolution Specialist

Department: Patient Account Services

Location: San Antonio, TX

Reports To: Supervisor, Patient Account Services

FLSA Status: Non-exempt

Job Summary:

The Credit Balance Resolution Specialist is responsible for evaluating all accounts with credit balances and performing processes needed to resolve them.

Key Responsibilities:

  • Evaluate accounts with credit balances and perform processes needed to resolve them, including researching if the balance is actually owed and who it is owed to.
  • Evaluate refund requests from various payors and determine proper action.
  • Transfer payments.
  • Work Task Management Queues in Groupcast ensuring that records are worked within five days of original entry date.
  • Work refund requests (manuals) as assigned within seven days of receipt.
  • Demonstrate complete knowledge of computer system with regard to refund menu.
  • Take other steps to move account balances to resolution (e.g. set to bill to patient).
  • Maintain confidentiality of patient protected health information (PHI) as mandated by STRG procedures and HIPAA Privacy, Security, & HITECH regulations.
  • Track and record credit balance resolution production in time analysis.
  • Perform other tasks as directed.

Supervisory Responsibilities:

None

Experience / Skill Requirements:

One to two years' general office experience. Medical insurance or AR experience is a plus.

Education:

High School diploma or GED

Attendance / Work Schedule:

Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.