Credit Resolution Rep- Remote

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.

About the role

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 utilizing expected reimbursement calculations to determine if refund is due to insurance companies, correcting proration and adjustment errors, and trending errors with recommending how to prevent future errors. The refunding process must be followed explicitly to ensure timely and accurate transfer of money.

Responsibilities

• Research all refund requests.
• Accurately and timely handle requests for refunds, identification, and correction of credit balances.
• Consistently meet production goals as established by management.
• Demonstrate 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.
• Remain knowledgeable on current federal, state, and local laws, accreditation standards, or regulatory agency requirements that apply to the assigned area of responsibility and ensure compliance.
• Other related duties as required.

Requirements

• High school diploma or equivalent (required).
• Bachelor’s degree (preferred).
• 2 years’ experience in customer service, healthcare, or leadership OR 1 year of internal company experience with demonstrated success in a relevant area (required).
• Hospital and/or clinic revenue cycle experience (preferred).
• Decision-making, problem-solving, analytical, and quality management skills.
• Billing or financial experience (a plus).

Skills

• Computer skills and dexterity required for data entry and retrieval of patient information.
• Effective verbal and written communication skills, with the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Proficiency with Windows-style applications, various software packages specific to the role, and keyboard.
• Strong interpersonal skills.
• Ability to perform effectively under conditions of fluctuating workload.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods.
• Normal routine involves no exposure to blood, body fluid, or tissue, and incumbents are not called upon to perform or assist in emergency care or first aid.
• No occupational risk for exposure to communicable diseases.
• Within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste through receipt, transport, storage, preparation, dispensing, administration, cleaning, and/or disposal of contaminated waste. The risk level may increase depending on essential job duties.