Job description
Overview:Under the supervision of the Manager, Credits, the Credit Specialist is responsible for the investigation and resolution of Insurance and Self-Pay Credits for all groups under the CBO. In the role of Credits Specialist the daily work activities include: Working assigned Credit Workques daily to ensure timely and accurate resolution of Insurance and Self-Pay Credits with an emphasis on Government payers. Researches and works all refund correspondence in a timely manner. Communicates problems and concerns to management. Performs all other duties and works special projects, as assigned.
Responsibilities:
Under the supervision of the Manager, the candidate is responsible for reconciliation of Insurance and Self-Pay Credits for all groups under the CBO as well as mentoring employees of the credit department in all aspects of their role.
Works closely with the Cash Posting Manager to ensure timely and accurate reconciliation of Insurance and Self Pay credit balances.
Mentors co-workers with appropriate actions needed to resolve a credit balance.
Reconciling credits on patient accounts which include insurance credits and self-pay credits with a special emphasis on governmental payers.
Identifies self-pay and insurance credit balances caused by an incorrect adjustment/write off.
Timely and accurate documentation of any and all actions to the patient account.
Qualifications:
Must possess a high school diploma or GED
2 – 3 years’ experience in A/R management and Credit Analysis in a physician group setting.
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