Credit Balance Specialist
Company: Loma Linda University Health
Location: San Bernardino
Posted on: March 17, 2023
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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
Compensation
US Dollar (USD)
18.76
US Dollar (USD)
26.51
Keywords: Loma Linda University Health, San Bernardino , Credit Balance Specialist, Other , San Bernardino, California
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