Credit Reconciliation Representative I Advocate Aurora Health - 3.6 Oak Brook, IL Job Details Full-time $21.85 - $32.80 an hour 14 hours ago Qualifications Accounting systems Medicare Managed care Accurate transaction records management High school diploma or GED Math Medicare regulations Medicaid regulations Medicaid Productivity software Cross-functional communication

Full Job Description Major Responsibilities:

Analyze and resolve credit balances and refund requests within Advocate Health Hospital and Professional Billing entities, ensuring appropriate contract reimbursement rates are applied. Utilize multiple systems to review and resolve credit balances accurately. Determine the payor responsible for overpayment, verify benefits coordination, reimbursement calculations, and payment sources, and follow system processes and department procedures. Identify and report root causes of credit balances and payer refund trends, collaborating with internal and external counterparts. Document all actions taken to resolve credit or refund requests in patient and guarantor account notes. Possess knowledge of refund/adjustment processes and utilize systems/applications proficiently to resolve credit balances and process refunds. Contribute to improvement initiatives and department/system goals. Adhere to Advocate Health Revenue Cycle policies, procedures, guidelines, and productivity standards, maintaining personal growth and development. Assist Level II staff with ad hoc projects and related job activities to support department operations, including patient accounting activities during high volume periods or impending deadlines. Licensure, Registration, and/or

Certification Required:

None Required.

Education Required:

High School Graduate Experience Required:

Typically requires 1 year of experience in a healthcare business related setting

Knowledge, Skills & Abilities Required:

Good organizational ability and communication skills (written and verbal). Ability to read, enter and retrieve information from multiple patient accounting systems. Basic understanding of Microsoft Office Basic bookkeeping skills and a strong mathematics aptitude. Able to work independently, under pressure in a fast-paced environment. Strong attention to detail and maintains a high degree of accuracy. Managed Care payer contract terms and Medicare/Medicaid payer guidelines. Ethical conduct. Regular and reliable attendance

Physical Requirements and Working Conditions:

Must be able to sit the majority of the workday. Exposed to a normal office environment. Operates all equipment necessary to perform the job.

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.