Credit Balance Process Representative

Patient Financial ServicesCentral Business Office Dalton, Georgia


Description

Hamilton Health Care System, Inc.
Job Description and Performance Standards

 

Title: Credit Balance Processing Rep 339005207

Department:  CBO 

Reports To:  Patient Account Manager

Shift: 8:00am - 4:30pm / Days vary Monday - Friday

Status: PRN 

 

JOB SUMMARY

Performs a variety of tasks in the Soarian Financials system to research and resolve refund requests from patients and third party payers, and overpayments as a result of inaccurate payment posting or duplicate payments.  Reviews the daily credit balance report to ensure that payments and adjustments are correctly applied.  Overpayments must be adjudicated and refunded timely to the appropriate guarantor or third party payer.

JOB QUALIFICATIONS

Education:  Completion of a high school diploma required.  College level courses preferred.

Licensure:  Prefer, CRCP designation.

Experience:  1 year hospital refund experience

Skills:  Excellent oral and written communication skills in order to effectively interact with internal and external customers.  .  Flexibility and analytical problem solving ability in order to resolve a wide variety of complex changing problems, many of which can not be anticipated.  Ingenuity and judgment are required to review facts, draw conclusions and take or recommend action.  Solutions to problems may require coordination with other departments.  High attention to detail as accuracy is essential.

 

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Normal office environment may require prolonged sitting.  Ingenuity and judgement are required to review facts, draw conclusions and take or recommend action.  Solutions to problems may require coordination with other departments.  Accuracy is essential.  Only complex problems should be taken for management review.