UnityPoint Health

Credit Specialist

Requisition ID
2025-169842
Category
Patient Services
Location
US-IA-Des Moines
Address
6200 Thornton Ave
Affiliate
9010 System Services Administration
City
Des Moines
Department
CBO- Single Billing Office
State
IA
FTE
1.0
FLSA
Non-Exempt
Scheduled Hours/Shift
Flexible Hours, 40 hr per week
Work Remotely within the US
Yes
Work Type (Portal Searching)
Full Time Benefits

Overview

Research patient and insurance credit balances from system work lists and request appropriate refunds. Efficiently process refund requests received from Insurance Companies and Responsible Parties. Authorize and process credit balances requested by staff within the organization subject to authorization maximum. Act as resource for billing office staff concerning credit balances.

 

Hours: Monday-Friday, standard business hours

Location: Remote - applicants preferably reside in the UnityPoint geography of Iowa, Illinois or Wisconsin. 

 

 

Candidates must have permanent work authorization in the U.S. This position does not offer visa sponsorship.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:      

  • Expect paid time off, parental leave, 401K matching and an employee recognition program.   
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Refund Processing

  • Ensure patient satisfaction through timely and effective processing of refund requests.
  • Respond to communication from third-party payors with requests for refunds.
  • Daily monitoring and resolution of credit balances via reports and/or correspondence, workques, patient, clinic phone calls or emails.
  • Review, audit, and process accounts in credit balance WQ’s identifying accounts for which a refund is due.
  • Effectively authorize and process refund requests submitted by staff outside and within the department.
  • Submit inquiries to payers to request a recoup be performed.
  • Trace errors, record adjustments to proper accounts, and determine the appropriate destination for refunds due.
  • Resolve account discrepancies by auditing account detail.

Excellence in Patient Billing

  • Using knowledge of payor guidelines for co-pays, deductibles, co-insurances, and out of pocket expenses to insure all patient or Third party responsibility is collected before any refunds are generated.
  • Balance all refunds processed to ensure amounts equal to Accounts Payable total refunds amount for the week.
  • Follow all Federal, State and industry requirements of overpayment timelines.
  • Completes special projects and monthly reports as assigned.
  • Demonstrate a professional image in dealing with the public, patients, families, and vendors.
  • Share responsibility through timely communication of identified problems to assure proper follow up is completed to expedite resolution of patient accounts issues.

Systems Competency

  • Demonstrate competency with all applicable software programs.
  • Performs other duties as assigned.

Qualifications

  • Experience working with EPIC required 
  • Minimum of two years in medical billing and/or cash posting 
  • Ability to read and interpret EOBs and smilar documentation 
  • Adaptability and a willingness to learn new systems quickly
  • Comfort with change and evolving workflows
  • Strong problem-solving and critical thinking skills
  • Working knowledge of Microsoft Excel, Word, and Outlook
  • A team-oriented mindset with the ability to work independently and collaboratively
  • Excellent attention to detail to ensure accuracy reconciliation of accounts
  • Strong communication skills for working with internal teams and resolving payer issues
  • Familiarity with payer guidelines and insurance processes
  • Effective time management and organizational skills to handle multiple priorities

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