Credit Specialist
We are seeking a Credit Specialist who will be responsible for the processing of refunds and the resolution of credit balances. This position will analyze the EPIC billing system to assure accuracy of payment posting and third-party reimbursement. Credits will be appropriately investigated and processed following proper accounting methods and established procedures. The Credit Specialist will interact with physicians, administration, clinical, accounting and PBS personnel to resolve credit balance issues. Strict confidentiality of patient information, including charges, treatment plans and diagnosis will be maintained.
Specific Duties & Responsibilities
Procedural Knowledge
- Responsible for the processing of refunds and resolving credit balances.
- Prepares check requests via EPIC and SAP System for accounts payable department.
- Exchanges information with individuals outside the assigned department or institution.
- Ability to research and answers refund questions.
- Responsible for the reconciliation of refunds and wire transfers to the EPIC billing system and the university revenue accounts.
- Interacts closely with the Reconciliation and Payments staff when credit balance problems occur.
- Accurately maintains online Refund Distribution Sheets.
- Assists with payment posting and month-end closing.
- All governmental refunds must be processed in thirty days or a comment placed in EPIC on the invoice.
- Verify accuracy of refund checks and posts refund debit to the EPIC system.
- Researches and resolves “Suspense Postings”, by contacting third party payers, JHH and other entities, by phone and in writing, to determine the correct destination for payments.
Technical Knowledge
- Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
- Exercises discretion and judgment in the resolution of credit balance issues.
- Provides feedback regarding problems to management.
- Working knowledge of JHU/ PBS Billing Applications.
Professional & Personal Development
- Participate in on-going educational activities.
- Assist in the training of staff.
- Keep current of industry changes by reading assigned material on work related topics.
- Complete three days of training annually.
Department Specific Responsibilities
Service Excellence
- Must adhere to Service Excellence Standards.
- Customer Relations.
- Self-Management.
- Teamwork.
- Communications.
- Ownership/Accountability.
- Continuous Performance Improvement.
Minimum Skills & Abilities
- Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Physical Requirements
- Able to sit in a normal seated position for extended periods of time.
- Able to reach by extending hand(s) or arm(s) in any direction.
- Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
- Able to communicate using the spoken and written word.
- Able to see within normal parameters and to hear within normal range.
- Able to move about.
- Able to lift minimum weight, 10 lbs.
Minimum Qualifications
- High School Diploma or graduation equivalent.
- One year experience in a medical billing or similar specialty environment required. Knowledge of medical terminology, CPT codes, professional fee billing preferred.
- Additional education may substitute for required experience, to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
- One year of payment posting or refund/credit balance experience preferred.
- Knowledge of professional fee billing preferred.
- Good written and verbal communication skills preferred.
- Knowledge of the EPIC billing System and knowledge of PCs and PC applications preferred.
Classified Title: Refund Specialist
Job Posting Title (Working Title): Credit Specialist
Role/Level/Range: ATO 37.5/02/OC
Starting Salary Range: $15.70 - $25.25 HRLY ($42,640 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F 8:30 AM - 5PM
Exempt Status: Non-Exempt
Location: Hybrid/JH at Middle River
Department name: SOM Admin CPA Refunds
Personnel area: School of Medicine