Credit Specialist 1

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Works with appropriate revenue cycle staff when performing account resolution functions
• Investigates and researches credit and undistributed balances on hospital and physician accounts, working those balances through to resolution
• Initiates refund requests as appropriate to third party payers and/or patients, which includes obtaining appropriate documentation and accurately recording proper refund information into the hospital or physician billing system
• Identifies unclaimed property amounts and initiates the unclaimed property process
• Reviews patient accounts for possible reversal of administrative, courtesy, or contractual adjustments
• Maintains a working knowledge of common billing and account resolution practices and requirements for hospital and/or clinic billing
• Communicates with insurance and/or patients as appropriate during the resolution process
• Keeps updated on applicable payer policies, federal and state regulations, laws, and procedures
• Maintains productivity standards as outlined in the Revenue Cycle department
• Special projects as assigned.

EDUCATION AND/OR EXPERIENCE

High school diploma or equivalent required. Two years of Revenue Cycle experience with emphasis in billing or collections preferred.

CERTIFICATION/LICENSURE

N/A

OTHER SKILLS AND ABILITIES

Proven ability to work effectively in a team environment.
Strong typing/data entry experience.
Strong organizational skills and attention to detail, accuracy and follow-through.
Knowledge of medical terminology preferred.

LEVEL OF SUPERVISION

N/A

SUPERVISES

N/A

PAY RANGE:

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

• Medical, Dental, Vision

• Life & Disability Insurance

• FSA/HSA Options

• Generous, accruing paid time off

• Paid Parental and caregiver leave

• Career advancement and educational opportunities

• Tuition and certification reimbursement

• Certification Reimbursement

• Well-being Programs

• Employee Discounts

• On-Demand Pay

• Financial Education

• Annual recognition/awards events

• Partner appreciation days

• Family entertainment/attractions discount

• Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don't simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

• #1 in the nation on AARP's Best Employers for Workers Over 50

• One of Working Mother magazine's 100 Best Companies for Working Mothers

• A Top 50 Company and Top 10 Nonprofit for Executive Women