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Credit Balance Resolution Specialist - Health

Orlando Regional Healthcare

Credit Balance Resolution Specialist - Health

Orlando, FL
Full Time
Paid
  • Responsibilities

    I choose Orlando Health. -Credit Balance Resolution Specialist - Orlando HealthJob ID142684Date posted03/09/2018FacilityOrlando Health Corporate Orlando Health's Patient Accounting team is seeking a Credit Balance Resolution Specialist. This positionfocuses on resolving credit balance issues. The Credit Balance Resolution Specialist reviews data todetermine the corrective action needed and submits appropriate documentation to bring the account to resolution. Essential Functions: 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. Education/Training High school or GED equivalent required. Intermediate computer skills and proficiency in Microsoft Office Suite, specifically Word and Excel. 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

  • Industry
    Hospital and Health Care