[Hiring] Team Lead, Credit Balance Resolution @ECU Health Medical Center

Role Description

The position serves as a technical expert lead for other Credit Balance Resolution staff and is responsible for training new staff, providing ongoing training to existing staff, as well as performing all of the duties of the Credit Balance Resolution Specialist. A significant degree of independent judgment and decision making is required.

• Responsible for ensuring the Medicare quarterly credit balance report is completed in a timely manner along with all other governmental credit balance audits requests and unclaimed property.
• Provides leadership and direction of the credit balance staff in daily credit balance workflow functions.
• Assists in creating, implementing, and updating the policies and procedures for Credit Balance Resolution.
• Responsible for resolving credit balances, undistributed payments, and requests for refunds through extensive phone, fax, and written correspondence.
• Works with internal and external customers to facilitate the prompt resolution of credit balances or requests for refunds.
• Involves researching insurance benefits, understanding coordination of benefits between payers, and updating account adjustments.
• Accurate and timely resolution of overpays, undistributed payments, and requests for refunds based on knowledge of contractual obligations and regulatory requirements.

Qualifications

• High school diploma or equivalent or higher.
• Associate Degree in Business, Finance, Health Information Management and/or three years of experience in a healthcare revenue cycle or clinic operations leadership role with progressive responsibilities.
• Minimum of five years of experience in insurance, finance, medical office, or customer service-related field.
• Knowledge of managed care contract billing guidelines is required.
• Revenue Cycle (healthcare business, financial, or insurance) experience.
• Epic experience.
• Knowledge of medical and insurance terminology, CPT, ICD & HCPCS coding structures, and billing forms (UB, 1500).

Requirements

• Effective interpersonal skills, including the ability to promote teamwork.
• Excellent time management skills and ability to handle multiple, simultaneous tasks effectively.
• Basic math skills and knowledge of general accounting principles.
• Ability to ensure a high level of customer satisfaction.
• Strong verbal and written communication skills.
• Detail-oriented and organized.
• High integrity, including maintenance of confidential information.
• Ability to exercise good judgment and positively influence and lead others.
• Illustrates autonomous, best revenue cycle practices.
• Proficiency in the use of all internal automation and software applications.

Benefits

• Remote role (based out of Greenville, NC).
• Monday - Friday day shift.
• Great Benefits.
• Pay Range: $18.38 - $26.79/hr.

Company Description

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals, and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University.