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Credit Balance Resolution Specialist

2 months ago

Conway, South Carolina, United States Conway Medical Center Full time
Job Summary

Conway Medical Center is seeking a highly skilled Refund Specialist to join our team in the Provider Network Services department. As a Refund Specialist, you will be responsible for the complete credit balance, aged trial balance, and investigation and resolution of credit balance accounts.

Key Responsibilities
  • Research and resolve credit balance accounts for Provider Network Services
  • Investigate and resolve refund requests made by third-party payors or patients
  • Apply credits to existing balances due before considering refunds
  • Work closely with Patient Account Representatives to verify allowances and balances
  • Develop recommendations for proper disposal of problem credit balances
  • Reduce the total amount of credit balances prior to month-end
  • Handle mail and phone refund requests
Requirements
  • High school diploma required; Associates degree in business-related field preferred
  • Minimum two years' experience in insurance processes and billing guidelines and regulations required
  • Prior billing experience in a physician office preferred
  • Exemplary core customer service skills strongly required
  • Strong organizational skills
  • Strong PC skills required
  • Strong verbal communication skills required
  • Strong verbal and written communication skills required
Working Conditions
  • Stress level high due to multiple demands frequently occurring simultaneously
  • Physical surroundings pleasant and comfortable
  • Generally contained office-type environment
  • Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs
Physical Requirements
  • Frequently required to stand, sit, and walk
  • Frequently required to use hands, fingers
  • Frequently required to talk or hear
  • Must exert 15 to 20 pounds of force occasionally
  • Must exert 5 to 10 pounds of force frequently
  • Must exert greater than negligible up to 5 pounds of force constantly
Assessment of Overall Credit Worthiness

An assessment of overall credit worthiness by review of a consumer credit report is required.