Credit Resolution Specialist
Use of EPIC medical application to determine if refund to patient or insurance necessary Apply all applicable contractual adjustments, correct patient responsibility using JDA, SSI (SSI Group LLC), EDI (electronic data interchange tracker) Keep up on SLA's (service level agreements for timely refunds for both commercial and government insurances. Prepared patient and insurance refunds in various amounts according to contract rates, research for EOB's (Explanation of Benefits) and trained co-workers on how to use various operating applicationsKnowledge of HIPAA and PHI policies and procedures