Ensures hospital billing (HB) integrity for health care system by accurately reviewing, researching, analyzing and validating credit balances within Epic HB Resolute. Responsible for credit balance resolution by processing refunds for third-party payers and patients, payment transfers, charge corrections and/or adjustments. Stays current on all Managed Care contracts for all campuses. Knowledgeable of payor policies and claims processing, including, but not limited to, coordination of benefits. Complies with state and federal statutes and regulatory agencies. Meets industry and productivity standards.

Minimum Education and Experience Requirements:

• High school graduate required. Prefer some college-level business, finance or accounting courses.
• Four years of general clerical experience with minimum one year of experience in hospital business setting dealing with finance, accounting or collection systems.
• May substitute years of experience with four-year degree; may substitute for 3 years of clerical experience and one year of experience in business setting.
• A two-year degree may substitute for one year of experience in a business setting.
• Must be organized and possess excellent communication and problem-solving skills.
• Must have above-average math skills and be keyboard and calculator-proficient.
• Must be able to adapt quickly in a high-volume, fast-paced environment.