Credit Balance Coordinator

JOB PURPOSE

Performs analysis and implements resolution of all accounts for hospital and professional services that have been overpaid by guarantors or have contractual adjustments that require reversal. Identifies and reports trends and issues with undistributed, over-posted, and credit balances in the self-pay bucket. Coordinates all external vendor activity relating to resolution of credit balances. Coordinates processes and procedures relating to credit balance resolution to ensure that all accounts are processed in an efficient and expeditious manner while assuring the integrity of each patient account.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum:

Preferred: A.A. or Bachelor's Degree.

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum:

Preferred:

TECHNICAL REQUIREMENTS

Minimum: Medical billing experience (hospital or professional). Intermediate MS Word, Excel and Outlook skills. Effectively operate a 10 key. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Preferred: Epic Experience.

YEARS OF RELATED WORK EXPERIENCE

Minimum: Three (3) years of patient accounting experience within the last five (5) years, preferably in an acute care setting.

Preferred: Five (5) years of patient accounting experience in a large metropolitan medical center, large free standing clinic, or chain of free standing clinics. Demonstrates effective expertise in acute care billing and collections, third party payment functions and working knowledge of their requirements. Experience and the ability to effectively use automated billing systems, associated reports, and logging systems. Experience and the ability to effectively use various payor web based systems, various financial systems and clinical applications. Current familiarity with insurance claim forms and processing requirements.