Credit Balance Refund Rep
US-TN-CHATTANOOGA
commonspirit_careers
Req #: 417461
Type: Day
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Overview: CHI Memorial Medical Group (Mountain Management Services), a member of CommonSpirit Health, is a leading provider of comprehensive office management services for Memorial Health Partners and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI(tm), CMS, Healthgrades(r), Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence. Responsibilities: * Conducts appropriate reviews using critical thinking skills to understand how to transfer payments * Reviews and posts payments and write-off/adjustments from insurance and patients * Identifies and researches unusual, complex or escalated issues * Documents all activities and findings in accordance with established policies and procedures * Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function * Establishes and maintains professional and effective relationships with peers and other stakeholders Qualifications: Minimum Qualifications: * High School Diploma or GED equivalent * Knowledge of general concepts and practices that relate to the healthcare field, debits and credits, clinic operations, regulatory/reporting requirements, operation and application of automated systems, and government/commercial insurance reimbursement terms * Excellent customer service, attention to detail, critical thinking, and the ability to maintain confidentiality of medical records, troubleshooting * Ability to understand and apply detailed billing requirements and cash posting processes and effectively prioritize Preferred Qualifications: * One to three years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities * Graduation from a post-high school program in medical billing or other business-related field
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