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.

Reviews and identifies overpayments for self-pay and insurance credit balances processing refunds as appropriate. Ensures compliance with hospital policies and procedures. Works to facilitate resolution of refunds through attention to detail, problem solving initiative, and dedication to efficient service for patients and insurance companies.

Job Duties

• Identifies and resolves credit balances by utilizing the latest software through assigned work queues.
• Processes self pay and insurance refunds with the goal of account accuracy by documenting actions taken to initiate refund in account history.
• Documents all communications regarding refunds or refund requests in the account history, scanning documentation received to the patient HAR.
• Provides assistance to customer or other PFS areas regarding account reconciliation questions and discrepancies.
• Reviews refund checks issued and records the refund in account history taking the steps necessary to mail the refund with the appropriate documentation.
  
• Understands all payor contracts to ensure overpayments are refunded to the third party payors validating that patient responsibility is accurately reflected on the HAR.
• Reviews checks that are not cashed through the Escheat process, taking the appropriate action required for resolution.

• High School Diploma/GED
• 3 years physician or hospital billing/insurance follow up experience or
• 2 years refunding experience utilizing an automated patient accounting system
• Knowledge of insurance companies contracts and regulations.
• Mathematical competency to understand debits, credits, adjustments, and reconciliation.
• Strong analytical, problem solving, and organizational skills.
• Ability to utilize Microsoft Office Suite (Word, Excel, PowerPoint and Outlook).
• Successful completion of DOE and Revenue Cycle Education within 3 months of hire.

• Associate's Degree Healthcare Administration, Finance or Business
• CPAT - Certified Patient Accounting Technician - State of Pennsylvania

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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