Credit Resolution Rep

Ochsner Health • New Orleans, LA

3d

About The Position

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for ensuring the financial security of accounts for patients, including functions associated with credit balances on accounts, both at the insurance and guarantor level. Responsibilities include, but are not limited to, utilizing expected reimbursement calculations to determine if refund is due to insurance companies, correcting of proration and adjustment errors, and trending errors with recommending how to prevent future errors. Refunding process must be followed explicitly to ensure timely and accurate transfer of money. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

• Education Required – High school diploma or equivalent
• Work Experience Required – 2 years’ experience in customer service, healthcare, or leadership OR 1 year of internal company experience with demonstrated success in relevant area
• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Ability to perform effectively under conditions of fluctuating workload.

Nice To Haves

• Preferred – Bachelor’s degree
• Preferred – Hospital and/or clinic revenue cycle experience and decision making, problem solving, analytical, and quality management skills; billing or financial experience a plus

Responsibilities

• Responsible for researching all refund requests.
• Accurately and timely handles requests for refunds/identification and correction of credit balances.
• Consistently meets production goals as established by management.
• Demonstrates competency in federal, state, and third party regulations.
• Demonstrate responsibility for professional growth and maintaining required knowledge and skills to perform the duties of the position.
• Other related duties as required.
• Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
• This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED