Your job is more than a job

The Credit Resolution Specialist will be primarily responsible for the daily processing of third party and patient refunds utilizing a credit balance work queues, correspondence, or incoming calls/emails. The credit resolution specialist will be required to research patient accounts in the Epic EMR system with an understanding of payment, allowance, and write-off transactions and make a sound decision as to whether a true overpayment or credit exists. The incumbent will need to be able to interpret EOB's and R/A's and comprehend coordination of benefits. The specialist will also be responsible for properly documenting, reconciling, and resolving unapplied credit balances in a timely manner. Basic financial and analytical skills are required to ensure accurate revenue reporting for LCMC Health.

Your Everyday

GENERAL DUTIES

Daily processing of third party and patient refunds:

• Daily processing of third party and patient refunds to bring resolution to accounts in assigned inventory.

Required to research patient accounts in the Epic EMR system with an understanding of payment and write-off transactions:

• Required to accurately analyze and research patient accounts and submit the necessary adjustments to bring resolution to the account.

Be able to interpret EOB’s and R/A’s and comprehend coordination of benefits:

• Must be able to read and interpret explanation of benefits (EOB’s) in order to take the necessary steps to bring resolution to the account.

The Must-Haves

Minimum:

EXPERIENCE QUALIFICATIONS

2 years of experience in a hospital or physician setting.

Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payors.

EDUCATION QUALIFICATIONS

High School Diploma or Equivalent

Preferred: Associates degree or higher with a focus on Accounting.

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart. 
• Give people a reason to smile. 
• Put a little love in your work. 
• Be honest and real, but with compassion.  
• Bring some lagniappe into everything you do. 
• Forget one-size-fits-all, think one-of-a-kind care. 
• See opportunities, not problems – it’s all about perspective. 
• Cheerlead ideas, differences, and each other. 
• Love what makes you, you - because we do

You are welcome here. 

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

 

Simple things make the difference. 

1.    To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 

4.    To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.