Credits Remediation

  • Location

    Aurora, United States

  • Sector:

    Business Professional

  • Job type:


  • Contact:

    Leric Arcigal

  • Job ref:


  • Published:

    almost 2 years ago

  • Expiry date:


Within Policies and Procedures, and under direct supervision of KP Managers, these resources will be responsible for reconciling aged credit balance accounts for all lines of business; determining disposition and resolving credit balances. Researches and follows up on all credit balance accounts for all lines of business. Identifies and reconciles accounts to be escalated to the local, state and / or federal authority(s) to comply with regulatory requirements. Reviews KP HealthConnect work queues to determine proper course of action for credit balance resolution by preparing or reversing adjustments, initiating refund requests, reversing charges and requesting transfers if applicable. Analyzes explanation of benefits, attorney, insurance and other confidential documentation, including patient statements. Escalates any identified trends to department analyst and / or supervisor. Facilitates account resolution by corresponding with appropriate parties for resolution of credit accounts via telephone, email and / or US postal mail. Distributes and undistributes funds as appropriate. Identifies missing charges. Analyzes credit balances and computations. Posts refund adjustments to the appropriate accounts and compiles documentation for submission to support refunds. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, action with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. Healthcare Experience, Healthcare Billing and Collection Experience: Epic HB and/or PB exposure, Ability to reconcile account detail, Ability to identify a credit, and its root cause, Ability to effectively communicate an opportunity for improvement, Understand accounting standards and principals, Understanding of compliance and regulatory requirements within healthcare. Performs daily audit and reconciliation processes for cash, check, and credit card payments received. This includes collaborating with others to drive resolutions for unreconciled differences and performing analysis and reporting for management on audit and reconciliation results and trends. Performs chargeback research and resolution for credit card payments, and compiling feedback to enable the development of analytics on payment-related vendors to assess performance and manage relationships. * Proficiency with transactional matching tools. * Able to interpret and analyze datasets to drive informed decisions. * Strong communication and interpersonal skills. * Able to work efficiently and collaboratively with others to resolve issues in a timely manner. * Must be able to work in a Labor/Management Partnership environment. Minimum one (1) year directly related experience in treasury, finance or other related field required.