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Credit Balance Specialist

Company: Loma Linda University Health
Location: San Bernardino
Posted on: March 17, 2023

Job Description:

Shared Services: Billing/Collections - (Full-time, Day Shift) -

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

Works under the supervision of the Commercial Contracts Managed Care Denial Management Unit Supervisor. The Credit Balance Specialist is responsible for auditing and resolving credits. Credits are to be resolved by reversing contractual write-offs and refunding patients and third party payers. Must conduct extensive research and some written inquiries to arrive at a proper resolution for the various refunds. Processes incoming mail and phone calls. Works with Hospital Accounting to resolve returned checks. To finalize returned checks, may have to transfer credit balances to Escheat for unclaimed property. These services may be provided for both the LLUMC and LLUCH hospitals. Performs other duties as needed.

High school diploma required. Some college with courses in Business, English and Accounting preferred. Minimum one year of previous experience in an acute hospital patient account setting required. Minimum two years experience in hospital UB04 billing, auditing and collections required. Minimum four years of professional/physician billing and collections experience accepted in lieu of acute hospital setting experience.

Essential Technical/Motor Skills: Able to operate general office equipment such as telephone, fax, copier, computer, etc.; utilize software programs (e.g., Microsoft Word, Excel, Outlook and Access); type at 40+ wpm and 10-key. Familiar with automated billing, follow-up and adjudication systems required (i.e., Emdeon, MedAssets, HIPAA, FCA, etc.). Knowledge of UB04, CPT, HCPC, ICD9, and EOB required. Essential Interpersonal Skills: Able to communicate professionally and effectively in English on the telephone, in person and in writing; relate positively, effectively and professionally with others; be consistent in following policies; work calmly and respond courteously when under pressure; accept direction; use tact and diplomacy in dealing with all levels of people; work as part of a team and demonstrates dependability; work in a fast paced environment. Essential Mental Abilities: Able to perform basic arithmetic calculations; problem solve with strong analytical skills required to audit; think critically; manage multiple assignments simultaneously (simultaneous interaction with patients/insurance carriers by telephone and documenting account history); organize and prioritize workload; recall information; pay attention to detail; handle specialized services and complex cases; work independently with minimal supervision. Essential Sensory Requirements: Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify various sounds associated with the workplace; see adequately to read computer screens and written documents necessary to the position.

Additional Information

  • Organization: Loma Linda Unv Shared Services

  • Employee Status: Regular

  • Schedule: Full-time

  • Shift: Day Job

  • Days of Week: Monday, Tuesday, Wednesday, Thursday, Friday


    • Minimum Salary:

      US Dollar (USD)


    • Maximum Salary :

      US Dollar (USD)


Keywords: Loma Linda University Health, San Bernardino , Credit Balance Specialist, Other , San Bernardino, California

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