Patient Credit & Refund Resolution Specialist

Children's Nebraska; Omaha (NE); In loco; USD 42.000 - 60.000; Tempo pieno

Descrizione del lavoro

Children’s Nebraska is seeking a Credit Resolution Specialist to analyze patient and insurance accounts, determine refunds, and ensure accurate postings. The role requires thorough research, payer coordination, and precise documentation to support efficient revenue cycle operations.

The position emphasizes HIPAA knowledge, EOB coding, and strong communication skills. Proficiency with Windows-based systems and independent work is important to support timely refunds and accurate financial records.

Competenze

• Knowledge of HIPAA and healthcare regulations.
• Familiar with Explanation of Benefits coding and processing.
• Ability to communicate effectively both verbally and in writing.
• Experience with Windows-based systems and standard business software.

Mansioni

• Analyze credit work queues to determine refunds.
• Research with payers and account holders to verify COB and financial details.
• Prepare and submit refund requests with documentation to Finance.
• Ensure accurate posting of refunds and reconcile with Finance.
• Process direct credit card refunds as needed.
• Maintain clear documentation of all transactions and resolutions.
• Scan and index correspondence into OnBase for record-keeping.

Conoscenze

HIPAA knowledge

EOB coding

Communication

Windows OS

Independence

Stakeholder comms

Typing 45 wpm

Formazione

High School Diploma or GED

Descrizione del lavoro

Children’s Nebraska is seeking a Credit Resolution Specialist to analyze patient and insurance accounts, determine refunds, and ensure accurate postings. The role requires thorough research, payer coordination, and precise documentation to support efficient revenue cycle operations.

The position emphasizes HIPAA knowledge, EOB coding, and strong communication skills. Proficiency with Windows-based systems and independent work is important to support timely refunds and accurate financial records.