Credit Balance Analyst 1

Overview: The Credit Balance Specialist 1 position will be responsible for analyzing and resolving overpayments in the self-pay and insurance credit portfolios by performing adjustments and/or refunds. This position will be responsible for understanding and applying payer rules for coordination of benefits, contracting agreements, adjustment/refund review, and credit work queues. This position will be responsible for a basic understanding of Provider Level Balancing (PLBs). The staff will be responsible for answering questions or concerns from patients regarding payments and credits via the billing inquiry process, responsible for answering internal calls from the Cash Management rotation line regarding cash drawers, credit card payments, and various payment issues. This position is required to meet established timelines regarding credit balances. Responsibilities: Resolves credit balances identified through Epic work queues, an internal credit balance report, billing, cash posting, or payer or patient/guarantor request. Researches credit inquiries. Approves or declines request as appropriate and provides complete and accurate responses to the requester. Reviews entire guarantor record to identify account types across all facility locations and service areas with open patient responsibilities and transfers, distributes, or void and reposts patient payments and/or adjustments when appropriate. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth. Engages in department meetings, teleconferences, and webcasts as necessary. Monitors accounts to facilitate timely follow-up and overpayment resolution. Provides excellent customer service to employees and vendors. Participates in performance improvement initiatives as requested. Works with supervisor and manager to develop and exceed annual goals. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information. Demonstrates a knowledge of hospital and physician billing platforms and understands how to appropriately resolve a credit balance due to voided charges and charge corrections. Identifies, reports, and works with the Compliance department regarding inaccurate information resulting in Compliance breeches. Displays a mindset of ongoing optimization and learning within the organization. Collaborates with various departments to ensure appropriate billing, payment collection, and medical record documentation. Assists with locating missing charges for allocation of payments. Answers Cash Management rotation line. Resolves credits in both HB and PB platforms of Epic. Qualifications: Certifications: , Education: Associate's Degree: Related Field; Experience In Lieu of Education, Work Experience: Healthcare Carle Health Company Overview:

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Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Salary Range: The compensation range for this position is $15.74per hour - $25.5per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.