Credit Specialist

Overview

Responsible for resolving all credit balances on patient accounts in the hospital and physician billing systems, which may result in issuing a refund to a third party payer and/or patient, or an unclaimed property submission. Performs other duties as assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Works with appropriate revenue cycle staff when performing account resolution functions
• Investigates and researches credit and undistributed balances on hospital and physician accounts, working those balances through to resolution
• Initiates refund requests as appropriate to third party payers and/or patients, which includes obtaining appropriate documentation and accurately recording proper refund information into the hospital or physician billing system
• Identifies unclaimed property amounts and initiates the unclaimed property process
• Reviews patient accounts for possible reversal of administrative, courtesy, or contractual adjustments
• Maintains a working knowledge of common billing and account resolution practices and requirements for hospital and/or clinic billing
• Communicates with insurance and/or patients as appropriate during the resolution process
• Keeps updated on applicable payer policies, federal and state regulations, laws, and procedures
• Maintains productivity standards as outlined in the Revenue Cycle department
• Special projects as assigned.

EDUCATION AND/OR EXPERIENCE

High school diploma or equivalent required. Two years of Revenue Cycle experience with emphasis in billing or collections preferred.

Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:

• Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
• Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
• Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
• Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
• Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
• Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.