Credit Specialist, Patient Financial Services, Days, 80 Hrs/2 wksLocation: Janesville, WI, OR Rockford, IL OR hybrid remoteSchedule: Monday - Friday; flexible work schedule available after training period
Responsible for resolving all credit balances on patient accounts in the hospital and physician billing systems, which may result in issuing a refund to a third party payer and/or patient, or an unclaimed property submission. Performs other duties as assigned.
Responsibilities
Essential Duties and Responsibilities
Works with appropriate revenue cycle staff when performing account resolution functionsInvestigates and researches credit and undistributed balances on hospital and physician accounts, working those balances through to resolutionInitiates refund requests as appropriate to third party payers and/or patients, which includes obtaining appropriate documentation and accurately recording proper refund information into the hospital or physician billing systemIdentifies unclaimed property amounts and initiates the unclaimed property processReviews patient accounts for possible reversal of administrative, courtesy, or contractual adjustmentsMaintains a working knowledge of common billing and account resolution practices and requirements for hospital and/or clinic billingCommunicates with insurance and/or patients as appropriate during the resolution processKeeps updated on applicable payer policies, federal and state regulations, laws, and proceduresMaintains productivity standards as outlined in the Revenue Cycle departmentSpecial projects as assigned.
Education and Experience
High school diploma or equivalent required. Two years of Revenue Cycle experience with emphasis in billing or collections preferred.
Culture of Excellence Behavior Expectations
Benefits
Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:
· Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
· Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
· Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
· Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
· Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
· Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.