Refund Credit Analysis Specialist, Cash Posting

Overview

Refund Credit Analysis Specialist, Cash Posting

40 hours per week, day shift

JOB SUMMARY:  Performs specialized duties for the team and assists the Assistant Manager and Manager with daily activities.  Maintains a thorough knowledge of tasks performed in the department in order to fulfill the task of the other team members in their absence.  

EDUCATION/EXPERIENCE:  Associate's degree in Healthcare or Business or equivalent relevant revenue cycle experience required.  Two years of revenue cycle experience required.  Previous lead experience in the revenue cycle preferred.

LICENSURE, CERTIFICATION, and/or REGISTRATION:  N/A

ESSENTIAL FUNCTIONS:
1.   Provides direction to the other members of the team, serves as a resource for questions, and researches reconciliation discrepancies and the more difficult accounts/questions.
2.   Responsible for activities within Refund and Credit Balance in the absence of management. 
3.   Assists with training in the creation of training materials.
4.   Analyzing accounts to determine if the balance is ready to bill the next payer, making sure deadlines are met.
5.   Prioritizes workload based on guidance from management.
6.   Maintains professional development by attending all required in-services/classes.
7.   Maintains a working knowledge of computer systems supported by the department.
8.   Maintains the privacy and security of all confidential and protected health information.  Uses and discloses only that information which is necessary to perform the function of the job.
9.   Meets productivity requirements to ensure excellent service is provided to customers.
10.   Maintains compliance with federal, state and local regulations, HIPAA and established corporate and departmental policies and procedures.
11.   Maintains satisfactory attendance record and punctuality record as set forth by Wake Forest Baptist Medical Center corporate and physician practice guidelines.
12.   Performs other relevant work functions, as requested.

SKILLS/QUALIFICATIONS:

• Demonstrates the ability to work independently
• Consistently demonstrates a positive and professional attitude at work 
• Maintains stable performance under pressure
• Handles stress in ways to maintain relationships with patients, customers and co-workers
• Ability to communicate effectively both orally and in writing
• Strong computer and math skills, knowledge of Excel is required
• Demonstrates leadership in establishing and achieving goals
• Knowledge of Medicare, Medicaid and all other third party insurance requirements
• Ability to exercise independent judgment in unusual or stressful situations

WORK ENVIRONMENT:

• Clean, comfortable, office environment
• Work may be stressful at times
• Contact may involve dealing with angry or upset people
• Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergencies