Lehigh Valley Health Network is seeking a Credit Refund Specialist to manage the review and resolution of overpayments for self-pay and insurance credit balances. The ideal candidate will have experience in hospital billing and insurance follow-up, and will play a crucial role in ensuring compliance with hospital policies while providing excellent service to patients and insurance companies
Job Summary
Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
The Credit Refund Specialist reviews and identifies overpayments for self-pay and insurance credit balances, processing refunds as appropriate.
This role ensures compliance with hospital policies and procedures, working to facilitate resolution of refunds through attention to detail and problem-solving initiative.
Matching Summary
Match Score: 85
Lehigh Valley Health Network is seeking a Credit Refund Specialist to manage the review and resolution of overpayments for self-pay and insurance credit balances. The ideal candidate will have experience in hospital billing and insurance follow-up, and will play a crucial role in ensuring compliance with hospital policies while providing excellent service to patients and insurance companies.
Skills & Requirements
Must-have
Identify and resolve credit balances
Process self-pay and insurance refunds
Document all communications
Understand payor contracts
Mathematical competency
Utilize Microsoft Office Suite
Nice-to-have
Teamwork and compassion
Forward-thinking organization
Dedication to efficient service
Problem solving initiative
Key Requirements
High School Diploma/GED
3 years physician or hospital billing/insurance follow up experience
2 years refunding experience utilizing an automated patient accounting system
Knowledge of insurance companies contracts and regulations
Strong analytical, problem solving, and organizational skills
Successful completion of DOE and Revenue Cycle Education within 3 months of hire