Revenue Cycle Credit Resolution Coordinator

LCMC Health; New Orleans (LA); On-site; USD 38,000 - 52,000; Full time

Job summary

LCMC Health in New Orleans seeks a Credit Resolution Specialist to manage daily refunds for third party and patient accounts. You will research accounts in the Epic EMR, interpret EOBs and RAs, and determine whether adjustments are needed to resolve balances.

Strong analytical skills and experience with COB are required. The role focuses on timely resolution of unapplied credits, with emphasis on accurate revenue reporting and documentation.

Qualifications

• 2 years of experience in a hospital or physician setting.
• Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payors.
• Ability to research patient accounts in Epic EMR and understand payment/write-off transactions.
• Ability to interpret EOBs/RAs and understand coordination of benefits.

Responsibilities

• Daily processing of third party and patient refunds to bring resolution to accounts.
• Research patient accounts in the Epic EMR system with understanding of payment and write-off transactions.
• Accurately analyze and research patient accounts and submit necessary adjustments.
• Interpret EOBs (explanation of benefits) and RAs and coordinate benefits.
• Document, reconcile, and resolve unapplied credit balances in a timely manner; support revenue reporting for LCMC Health.

Skills

EOB analysis

Finance/revenue processing

Education

High School Diploma or Equivalent

Accounting focus (Associates or higher)

Tools

Epic EMR

Job description

Why a Great Place to Work You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

Your job is more than a job

Why a Great Place to Work You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

The Credit resolution specialist will be primarily responsible for the daily processing of third party and patient refunds utilizing a credit balance work queues, correspondence, or incoming calls/emails. The credit resolution specialist will be required to research patient accounts in the Epic EMR system with an understanding of payment, allowance, and write-off transactions and make a sound decision as to whether a true overpayment or credit exists. The incumbent will need to be able to interpret EOB\'s and R/A\'s and comprehend coordination of benefits. The specialist will also be responsible for properly documenting, reconciling, and resolving unapplied credit balances in a timely manner. Basic financial and analytical skills are required to ensure accurate revenue reporting for LCMC Health.

GENERAL DUTIES

Daily Processing Of Third Party And Patient Refunds

• Daily processing of third party and patient refunds to bring resolution to accounts in assigned inventory.

Required to research patient accounts in the Epic EMR system with an understanding of payment and write-off transactions:

• Required to accurately analyze and research patient accounts and submit the necessary adjustments to bring resolution to the account.

Be able to interpret EOB’s and R/A’s and comprehend coordination of benefits:

• Must be able to read and interpret explanation of benefits (EOB’s) in order to take the necessary steps to bring resolution to the account.

Experience Qualifications

2 years of experience in a hospital or physician setting.

Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payors.

Education Qualifications

High School Diploma or Equivalent

Preferred: Associates degree or higher with a focus on Accounting.

REPORTING RELATIONSHIPS

• Does this position formally supervise employees? No

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Work Shift

Days (United States of America)

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.