Self Pay Credit Refund Specialist

Full-Time
Day Shift
Department
CSS-Patient Receivables Office
Shift Details
Day Shift, 8:00am-4:30pm
Job ID
wd-JR103846
Posted

Self Pay Credit Refund Specialist

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.


Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.


LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.


Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.


Summary

Identifies patient overpayments and refunds the appropriate amount assuring compliance with PRO Patient Receivable Office established policies and procedures and detailed instructions. Understands all aspects of insurance contracts in terms of patient financial responsibility and payment/refunds. Utilizes appropriate software to identify all credit balances, processes weekly reports, and works to resolve identified accounts.

Job Duties

  • Processes all refunds for patient account balances.
  • Identifies credit balances by utilizing the latest software to identify and prioritize patient overpayments.
  • Informs the Supervisor, Cash Management of issues as they occur and make recommendations to improve departmental quality outcomes.
  • Prepares and processes all patient credits by analyzing the current system and account notes/history to determine if the credit balance is valid.
  • Records necessary information for account payable to process refund checks.
  • Verifies accuracy of refund checks and prepares checks for mailing, properly documents actions in account.
  • Reviews list of duplicate checks and uncashed checks sent from Internal Audit.

Minimum Qualifications
  • High School Diploma/GED
  • 5 years In healthcare financial service or accounts receivable role.
  • Knowledge of debits, credits, adjustments, and reconciliation.
  • Knowledge of insurance rules and regulations.
  • Strong analytical and problem-solving skills.
  • Microsoft Excel intermediate skills.

Preferred Qualifications
  • Associate’s Degree

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.


Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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About LVHN

LVHN hospitals in the Lehigh Valley are the only hospitals in the region to have received Magnet® recognition five consecutive times since 2002. This prestigious recognition from the American Nurses Credentialing Center demonstrates our commitment to nursing excellence and quality patient outcomes. LVHN is home to five clinical institutes. Each serve as a hub for innovation, collaboration and education. Our institutes include Lehigh Valley Topper Cancer Institute, Lehigh Valley Heart and Vascular Institute, Lehigh Valley Institute for Surgical Excellence, Lehigh Valley Fleming Neuroscience Institute and Lehigh Valley Orthopedic Institute. LVHN is also home to Lehigh Valley Reilly Children's Hospital, which is the only children's hospital in the region. This hospital gives our community access to more than 30 pediatric specialties, Children's ExpressCARE locations and a dedicated Children's ER.

We've been consistently recognized by U.S. News & World Report as the top hospital in the region and among the best in the state. We're also Great Place to Work-Certified™, which means an overwhelming majority of our colleagues have a positive experience at LVHN.

These designations tell you that LVHN is a great place to work from hire to retire. If you are someone who aligns with LVHN's core values - Compassion, Integrity, Collaboration and Excellence – you will have a rewarding and successful career here.

Vaccination Requirements

Individuals are required to adhere to all LVHN vaccination policies in effect at the time of hire. Employees will be subject to pre-employment drug and alcohol testing. Please note that safety sensitive positions cannot test positive for marijuana or its metabolites, medical or otherwise.

Equal Opportunity Employer

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Discover more about our mission and values on our about page.

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