Refund & Credit Analysis Specialist

Department:

13371 Enterprise Revenue Cycle - Correspondence SE

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This position is remote.

Pay Range

$20.80 - $31.20

EDUCATION/EXPERIENCE:

• Associate's degree in Healthcare or Business or equivalent relevant revenue cycle experience required.
• Two years of revenue cycle experience required.
• Previous lead experience in the revenue cycle preferred.

LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A

ESSENTIAL FUNCTIONS:

1. Provides direction to the other members of the team, serves as a resource for questions, and researches reconciliation discrepancies and the more difficult accounts/questions.

2. Responsible for activities within Refund and Credit Balance in the absence of management.

3. Assists with training in the creation of training materials.

4. Analyzing accounts to determine if the balance is ready to bill the next payer, making sure deadlines are met.

5. Prioritizes workload based on guidance from management.

6. Maintains professional development by attending all required in-services/classes.

7. Maintains a working knowledge of computer systems supported by the department.

8. Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.

9. Meets productivity requirements to ensure excellent service is provided to customers.

10. Maintains compliance with federal, state and local regulations, HIPAA and established corporate and departmental policies and procedures.

11. Maintains satisfactory attendance record and punctuality record as set forth by Wake Forest Baptist Medical Center corporate and physician practice guidelines.

12. Performs other relevant work functions, as requested.

SKILLS/QUALIFICATIONS:

• Demonstrates the ability to work independently
• Consistently demonstrates a positive and professional attitude at work
• Maintains stable performance under pressure
• Handles stress in ways to maintain relationships with patients, customers and co-workers
• Ability to communicate effectively both orally and in writing
• Strong computer and math skills, knowledge of Excel is required
• Demonstrates leadership in establishing and achieving goals
• Knowledge of Medicare, Medicaid and all other third-party insurance requirements
• Ability to exercise independent judgment in unusual or stressful situations

WORK ENVIRONMENT:

• Clean, comfortable, office environment
• Work may be stressful at times
• Contact may involve dealing with angry or upset people
• Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergencies

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• 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

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Car