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Providence Health & Services Credit Refund Clerk in Montana

Description:

Providence St. Joseph is calling a Credit Refund Clerk (Full-Time, Days) to our location in Lubbock, TX.

We are seeking a Credit Refund Clerk who will be responsible for making payment posting corrections, posting refunds and adjustments, and working with third-party payors to resolve credit issues. This individual is responsible for researching potential credit balances and validating overpayments per the contractual agreement or fee schedule. In addition, the Credit Analyst is responsible for escalating credits to PFS management for sign-off in accordance with SJHS refunds policies.

In this position you will:

  • Research credit balances on patient accounts, make posting corrections, post refund in system, and work with third-party payors on the refund process and to resolve credit issues.

  • Responsible for researching potential credit balances and validating overpayments per the contractual agreement or fee schedule.

  • Manage credit balance/refund work lists to department standards and performance expectations.

  • Maintain appropriate account notation and timely and accurate documentation in the revenue cycle system.

  • Daily focus on complying with policies, processes, and department guidelines for credit balance processing.

  • Escalate accounts to PFS Management for refund sign-off in accordance with SJHS credit management policies.

  • Identify trends in payment posting and/or payment errors and communicate findings to management team.

  • Participate in department audits as needed.

Qualifications:

Required qualifications for this position include:

  • Experience in medical management computer applications

  • 3 years Health care business office experience or related field

Preferred qualifications for this position include:

  • H.S. Diploma or GED

  • 5 years Health care business office experience or related field including medical terminology

  • Credit management experience

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Health Care

Location: Texas-Lubbock

Other Location(s): Montana, California, Washington, New Mexico, Oregon, Texas

Req ID: 297604

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