Credit Representative I - York - Days

Duties and Responsibilities

Essential Functions:

• Corrects financial and biographical information that has been improperly entered into the system.
• Reviews and issues patient refunds based off outstanding balances on patient accounts.
• Reviews and issues refunds to patient HSA accounts.
• Reviews and processes NSF and other financial information relayed from the Finance Department.
• Reviews outstanding credit balances in order to apply to other outstanding patient accounts.
• Reviews and posts necessary adjustments to patient accounts to maintain accuracy.
• Reviews and communicates to outside departments all missing charges noted on an account.
• Maintains knowledge of Legacy and Third-party systems needed to process patient refunds and transfer outstanding balances between such systems.
• Makes patient contact through phone or letter to make patients aware of return checks and makes updates to demographic information if necessary.
• Reviews and maintains special programs issued throughout the system.
• Reviews escalated self-pay accounts and takes appropriate corrective action to include follow up, and/or communication with other departments or service lines depending upon the concern.
• Answers all inquiries regarding patient accounts for ALL WellSpan hospital (8) and professional locations.
• Reviews and processes escalated or urgent self-pay credits.
• Reviews and confirms accuracy of self-pay accounts that have flowed to bad debt and alerts appropriate staff if there is an error.
• Processes/posts prompt pay discounts that were not completed at time of service.
• Reviews and completes emails directly to each staff within 24-48 hours via Outlook.
• Completes payment research request for payments not posted or accounted for in Epic or legacy systems. Will post to patient account if warranted.
• Reviews and updates return mail from returned daily statements issued to patients/guarantors.
• Reviews and maintains personal follow-up work queues.
• Special projects as assigned.

Common Expectations:

• Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
• Prepares and maintains records of patient charges.
• Maintains appropriate records, reports, and files as required.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Participates in educational programs and in-service meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.