Credit Balance/Refund Specialist

Singing River Health System; United States; On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Best-of-industry benefits

Flexible scheduling options

Professional pathways

Job summary

Singing River Health System is seeking a Credit Balance/Refund Specialist to resolve credit balances on patient accounts and unapplied cash postings. The role requires understanding government regulations, Medicare reporting, and accurate refunds.

You will report to the Cash Applications Manager and the Director of the Business Office. Ideal candidates have 5 years in patient accounting, strong attention to detail, and excellent communication skills.

Qualifications

• High School graduate or equivalent required.
• Five (5) years’ experience in patient accounting preferred.
• A full understanding of primary, secondary and tertiary insurance regulations as they pertain to primary and secondary billing and reimbursement regulations and payer responsibilities.
• General knowledge of debit/credit/adjustment accounting functions.

Responsibilities

• Resolve credit balances on patient accounts and unapplied cash postings.
• Prepare quarterly Medicare credit balance reports.
• Ensure accuracy and timeliness of adjustments, refunds and related reports.

Skills

Customer service

Communication skills

Attention to detail

Multi-tasking

Education

High School diploma or equivalent

Tools

MS Outlook

MS Word

Job description

At Singing River Health System, caring isn’t just part of the job — it’s in our DNA. Whether we’re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day. With pride, passion, and commitment, we will improve health and save lives in our community every day. Shift: Monday - Friday (8AM-5PM) Location: Lingle Building

Job Description Summary

Job Description Position Overview: The Credit Balance/Refund Specialist performs all duties relating to resolving credit balances on patient accounts and unapplied cash postings in an efficient and timely manner. Maintains an update of all government regulations regarding government accounts with credit balances, performing adjustment functions and/or refunds whenever appropriate. Prepares a quarterly report to Medicare of all outstanding Medicare account credit balances that appear to be due back to Medicare. The Credit Balance/Refund Specialist is responsible for the proficiency of processing all credit balance account adjustments, refunds and reports. Must have the ability to understand patient accounting, government patient account covered/non-covered charges, secondary/tertiary coverage and the regulations regarding government account adjustments and refunds. Assures that proficiency and accuracy prevail in the adjustment and refunding of all patient accounts and that the Medicare quarterly credit balance report is filed accurately and timely.

DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

Education

High School graduate or equivalent required.

License

N/A

Certifications

Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.

Experience

Five (5) years’ experience in patient accounting preferred. A full understanding of primary, secondary and tertiary insurance regulations as they pertain to primary and secondary billing and reimbursement regulations and payer responsibilities. General knowledge of debit/credit/adjustment accounting functions.

Reports to

Cash Applications Manager; Director of Business Office

Supervises

None

Physical Demands

Work is moderately sedentary: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Mental Demands

Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations

Special Demands

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.

If you’re looking for purpose, teamwork, and a place where what you do truly matters, you’ve found it. Let’s do big things together.

Singing River is both a mission-driven healthcare provider and one of the largest employers on the Mississippi Gulf Coast. We offer best-of-industry benefits, scheduling options, and professional pathways for our employees. Within each of our three hospitals and 50+ primary care and specialty clinics, you'll find a team devoted to quality, teamwork, and service.