Credit Specialist

🔥 27 minutes ago

🇺🇸 United States – Remote

💵 $21 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Clinical Health Network For Transformation (CHN)

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2019

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Clinical Health Network for Transformation (CHN) is an organization that supports and coordinates clinical and operational services for reproductive health providers. CHN states it supports the post‑Roe infrastructure and provides integrated services to 15 Planned Parenthood affiliates across 19 states, connecting patients to care even across state lines. Its services include a centralized call center for appointment scheduling, preregistration and financial verification; patient navigation that helps patients arrange abortion appointments and funds/transportation/hotel for travel over 60 miles; a central billing office that manages claims, payments, denials and appeals; and an information technology function that provides a consolidated, scalable IT ecosystem and integrated digital health platforms. CHN’s team includes executives in operations, IT, revenue cycle, finance, access operations, people and equity.

📋 Description

• Research credit balances on patient accounts for both patient and payer • Investigate each credit balance to determine if an overpayment has been made • Determine the correct course of action to resolve refund requests or credit balances • Complete refund requests for submission to the refund department • Request payment corrections or adjustment corrections as needed • Request transfer of patient payments to other patient accounts with patient balances • Notify payor representatives to initiate takeback (recoupment) and provide supporting documentation • Perform payment corrections or adjustment corrections • Process transfers of patient payments to other patient accounts with outstanding balances • Maintain complete, accurate, and timely account notation and documentation in EPIC • Prepare refund tasks in EPIC for payor/patient refund requests • Review and follow up on refund/offset requests to ensure timely completion • Contribute to workflow improvement processes for credit balances • Manage daily credit-balance work queues to ensure timely account resolution • Perform regular reconciliations of patient accounts • Investigate and resolve discrepancies or disputes related to patient accounts • Ensure compliance with credit-balance review processes, CHN and affiliate policies, and state and federal regulations • Perform clerical activities supporting daily operations • Demonstrate commitment to CHN and Planned Parenthood’s health-equity mission, racial equity, and community accountability • Learn about and enhance practices related to racial equity and structural racism in healthcare systems • Provide positive and developmental feedback and accountability related to equity practices

🎯 Requirements

• Minimum of 3 years of relevant account receivable experience • A good understanding of the coordination of benefits • Experience in account inquiries and analysis to investigate and evaluate the payment methodology and accuracy, required • Clear understanding of contract terms, payer policy, and strong understanding of explanation of benefits • Strong analytical and problem-solving abilities • Proficiency with Microsoft software (Excel, etc.) • Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment • Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary • Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment • Demonstrated dedication to Planned Parenthood’s mission, vision, and values • Strong interpersonal skills and the ability to build relationships with stakeholders • Excellent time management, and problem-solving skills • Commitment to advancing race (+) equity in one’s work: interested in expanding knowledge about the role that inequity plays in our society • Preferred: proficient utilization of Excel, Word, and Windows environment; Epic, eCW, NextGen or other practice management systems experience a plus • Medical Billing and Coding certification, a plus

🏖️ Benefits

• Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire • Flexible Spending Accounts and Health Savings Account • Short-Term Disability and Basic Life & AD&D Insurance provided by CHN • Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost • Employee Assistance Program • Retirement Plan, 3% employer match after one year of service • Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays

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