Patient Credit Resolution Specialist, Patient Financial Services, Full-time

The Credit Resolution Specialist is responsible for facilitating the resolution of insurance and patient credit balances to enable patient satisfaction and compliance with federal or state regulations.

This role requires strong problem solving skills, attention to detail, and research in the patient accounting system to achieve credit resolution.

Root cause analysis and trending will be performed to identify reoccurring issues generating credits. The credit specialist will partner with other areas of the revenue cycle to communicate issues causing credits, and potential remediation steps to prevent them from occurring in the future.

This role will require adherence to quality assurance metrics, as well productivity standards to ensure credit resolution metrics are met.

Responsibilities :

• Research, initiate follow-up and resolve all credit balance claims (paid more than expected)
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution claims
• Superior problem solving and analytical skills
• Identify trends and escalate where appropriate.
• Respond to requests for information and resolve accounting discrepancies.
• Resolves unidentified payments through research.
• Maintain accurate, clear, concise and complete account notes and other relevant information.
• Process internal and external refund requests.
• Strong organizational skills with an ability to effectively manage large amounts of detailed information
• Stay current on communications relating to healthcare reimbursement and regulatory changes
• Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.
• Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as Brooks policies and procedures in all aspects of job performance.

Qualifications :

• High School Diploma or equivalent required
• 2+ years’ experience with accounting, transactions or medical billing systems a plus

Health care and medical billing / collections / credit remediation or reimbursement experience is preferred

• Intermediate computer proficiency in Microsoft Office including Excel and Outlook
• A strong insurance billing background in a healthcare business office is strongly preferred.
• Ability to review accounts for proper posting of payments.
• Ability to figure discounts accurately and adjust accounts appropriately.
• Experience in calling insurance companies regarding refund requests with the ability to dispute any incorrect refund request.
• Ability to speak to patients in a professional and caring manner.
• Must be detailed oriented and be able to do multiple tasks.

Hours : Monday - Friday, 40 hours per week

Location : 3599 University Blvd South, Jacksonville, FL 32216

Compensation : Experience, education and tenure may be considered along with internal equity when job offers are extended.

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following :

• Competitive Pay
• Comprehensive Benefits package
• Vacation / Paid Time Off
• Retirement Plan
• Employee Discounts
• Clinical Education and Professional Development Programs
6 days ago