What are the responsibilities and job description for the Credit Balance Clerk position at Midland Memorial Hospital?
Job Description
Processes patient account credit balances via refunding patients and/or insurance companies, adjustments or transfers. Works credit balance reports daily. Ensures that accounts are worked properly to reflect proper financial transaction activity and request insurance refiling when necessary. Handles telephone and other correspondence inquiries concerning demands or requests for refunds. Coordinates refund transaction with appropriate Patient Account staff, supervisor, Patient Accounts Director, and CFO where needed. Assist customer service inquiries telephonically or in person as required. This position performs general clerical duties.
SHIFT AND SCHEDULE
Monday - Friday: 8:00 AM - 5:00 PM
Essential Functions/Performance Expectations
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to:
Processes patient account credit balances via refunding patients and/or insurance companies, adjustments or transfers. Works credit balance reports daily. Ensures that accounts are worked properly to reflect proper financial transaction activity and request insurance refiling when necessary. Handles telephone and other correspondence inquiries concerning demands or requests for refunds. Coordinates refund transaction with appropriate Patient Account staff, supervisor, Patient Accounts Director, and CFO where needed. Assist customer service inquiries telephonically or in person as required. This position performs general clerical duties.
SHIFT AND SCHEDULE
Monday - Friday: 8:00 AM - 5:00 PM
Essential Functions/Performance Expectations
- Works identified credit balance accounts and requests for refund or resolution via refund, adjustment or credit balance transfer
- The ability to calculate patient cost shares and insurance payments to verify payments made on account(s) are correct along with the ability to figure correct amount of refund to insurance or patient requires awareness, knowledge and cognitive ability in the use of UB form locators, ICD, 9 CM codes, CPT codes, HCPCS codes modifiers, and revenue codes as well as knowledge of various reimbursement terms.
- Demonstrates knowledge, understanding and application of established hospital and Patient Financial Services Policies and Procedures
- Understands insurance contracts and different payment methodologies and how they are applied
- High school diploma or equivalency required.
- Must be able to type 35 wpm and operate a personal computer with the ability to use Microsoft for Windows (Outlook, Excel and Word.)
- Basic math skills with attention to detail required.
- Excellent ten key by touch skills
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to:
- Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.