Self Pay Credit Refund Specialist
Imagine a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary Identifies patient overpayments and refunds the appropriate amount assuring compliance with PRO Patient Receivable Office established policies and procedures and detailed instructions. Understands all aspects of insurance contracts in terms of patient financial responsibility and payment/refunds. Utilizes appropriate software to identify all credit balances, processes weekly reports, and works to resolve identified accounts. Job Duties- Processes all refunds for patient account balances.
- Identifies credit balances by utilizing the latest software to identify and prioritize patient overpayments.
- Informs the Supervisor, Cash Management of issues as they occur and make recommendations to improve departmental quality outcomes.
- Prepares and processes all patient credits by analyzing the current system and account notes/history to determine if the credit balance is valid.
- Records necessary information for account payable to process refund checks.
- Verifies accuracy of refund checks and prepares checks for mailing, properly documents actions in account.
- Reviews list of duplicate checks and uncashed checks sent from Internal Audit.
- High School Diploma/GED
- 5 years In healthcare financial service or accounts receivable role.
- Knowledge of debits, credits, adjustments, and reconciliation.
- Knowledge of insurance rules and regulations.
- Strong analytical and problem-solving skills.
- Microsoft Excel intermediate skills.
- Associate’s Degree
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
https://youtu.be/GD67a9hIXUY
Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Work Shift:
Day ShiftAddress:
1200 S Cedar Crest BlvdPrimary Location:
REMOTE IN PENNSYLVANIAPosition Type:
RemoteUnion:
Not ApplicableWork Schedule:
Monday-Friday; 8:00a-4:30pDepartment:
1004-13054 CSS-Patient Accounting Apply To This Job