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Credit Reconciliation Representative I
Location
United States
Posted
5 days ago
Salary
$22 - $33 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Credit Reconciliation Representative I
American Addiction Centers
Role Description Analyze and resolve credit balances and refund requests within Advocate Health Hospital and Professional Billing entities, ensuring appropriate contract reimbursement rates are applied. - Utilize multiple systems to review and resolve credit balances accurately. - Determine the payor responsible for overpayment, verify benefits coordination, reimbursement calculations, and payment sources, and follow system processes and department procedures. - Identify and report root causes of credit balances and payer refund trends, collaborating with internal and external counterparts. - Document all actions taken to resolve credit or refund requests in patient and guarantor account notes. - Possess knowledge of refund/adjustment processes and utilize systems/applications proficiently to resolve credit balances and process refunds. - Contribute to improvement initiatives and department/system goals. - Adhere to Advocate Health Revenue Cycle policies, procedures, guidelines, and productivity standards, maintaining personal growth and development. - Assist Level II staff with ad hoc projects and related job activities to support department operations, including patient accounting activities during high volume periods or impending deadlines. Qualifications - High School Graduate Requirements - Typically requires 1 year of experience in a healthcare business related setting. - Good organizational ability and communication skills (written and verbal). - Ability to read, enter and retrieve information from multiple patient accounting systems. - Basic understanding of Microsoft Office. - Basic bookkeeping skills and a strong mathematics aptitude. - Able to work independently, under pressure in a fast-paced environment. - Strong attention to detail and maintains a high degree of accuracy. - Managed Care payer contract terms and Medicare/Medicaid payer guidelines. - Ethical conduct. - Regular and reliable attendance. Benefits - Paid Time Off programs. - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits such as adoption assistance and paid parental leave. - Defined contribution retirement plans with employer match and other financial wellness programs. - Educational Assistance Program.
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