[Hiring] Billing Research Processor I @Medical University of South Carolina

Role Description

The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. This role involves processing all levels of transactions needed for resolution, including:

• Transfers
• Posting
• Offsets
• Refunds

Utilize available resources such as:

• Workflows
• Email
• Excel
• Word
• Fee Schedules

Responsibilities include verifying insurance, patient, and guarantor information, reviewing websites, contacting insurance carriers and/or guarantors, and updating demographics, coverage, and/or claim information accordingly. Note accounts with actions taken. The ability to be accountable, adaptable, and flexible to changes in processes and assigned tasks while meeting set deadlines is essential.

Qualifications

• High school diploma
• One year of revenue cycle work experience required
• Prior account analysis, credit resolution, billing, and/or insurance follow-up experience in a hospital or physician office setting preferred
• Working knowledge of insurance payor remittances
• Epic system knowledge helpful
• Excellent organizational, analytical, and communication skills
• Dependable, team-focused, goal-oriented individuals with a strong work ethic and positive attitude

Requirements

• Must be able to work independently under the direction of the Department Supervisor and Manager
• Maintain department’s current Completed Account Contribution totals daily, weekly, monthly
• Maintain >=97% accuracy rate on audit reviews
• Review and process HPF Insurance Refund Request Letters weekly to ensure resolution is met prior to deadlines
• Review returned refunds; verify information pertaining to the reason for the return and consult with other departments when necessary
• Perform job functions while standing, walking, and sitting
• Ability to bend at the waist, kneel, climb stairs, and reach in all directions
• Maintain 20/40 vision corrected
• Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted

Benefits

• This position offers a remote work schedule