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Credit Reconciliation Representative I

🇺🇸 United States

Finance

Internship

$21.85 - $32.80

Credit Reconciliation Representative I

from 🇺🇸 United States

$21.85 - $32.80

Department:

10283 Enterprise Revenue Cycle - Credit Processing: Midwest

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Remote position

Monday - Friday 8am - 4:30pm

Pay Range:

$21.85 - $32.80

Major Responsibilities:

Analyze and resolve credit balances and refund requests within Advocate Health Hospital and Professional Billing entities, ensuring appropriate contract reimbursement rates are applied. 

Utilize multiple systems to review and resolve credit balances accurately. 

Determine the payor responsible for overpayment, verify benefits coordination, reimbursement calculations, and payment sources, and follow system processes and department procedures. 

Identify and report root causes of credit balances and payer refund trends, collaborating with internal and external counterparts. 

Document all actions taken to resolve credit or refund requests in patient and guarantor account notes. 

Possess knowledge of refund/adjustment processes and utilize systems/applications proficiently to resolve credit balances and process refunds. 

Contribute to improvement initiatives and department/system goals. 

Adhere to Advocate Health Revenue Cycle policies, procedures, guidelines, and productivity standards, maintaining personal growth and development. 

Assist Level II staff with ad hoc projects and related job activities to support department operations, including patient accounting activities during high volume periods or impending deadlines. 

Licensure, Registration, and/or Certification Required:

None Required.

Education Required:

High School Graduate  

Experience Required:

Typically requires 1 year of experience in a healthcare business related setting

Knowledge, Skills & Abilities Required:

Good organizational ability and communication skills (written and verbal). 

Ability to read, enter and retrieve information from multiple patient accounting systems. 

Basic understanding of Microsoft Office 

Basic bookkeeping skills and a strong mathematics aptitude. 

Able to work independently, under pressure in a fast-paced environment. 

Strong attention to detail and maintains a high degree of accuracy. 

Managed Care payer contract terms and Medicare/Medicaid payer guidelines. 

Ethical conduct. 

Regular and reliable attendance 

Physical Requirements and Working Conditions:

Must be able to sit the majority of the workday. 

Exposed to a normal office environment. 

Operates all equipment necessary to perform the job. 

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position.  Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job

  • Incentive pay for select positions

  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs

  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

  • Flexible Spending Accounts for eligible health care and dependent care expenses

  • Family benefits such as adoption assistance and paid parental leave

  • Defined contribution retirement plans with employer match and other financial wellness programs

  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the namesAdvocate Health Care in Illinois;Atrium Health in the Carolinas, Georgia and Alabama; andAurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, withWake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

by @maxrusakovic