Manager of Credits & Refunds - Physician Business Office

Job Description

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

The Manager of Credits & Refunds is an integral part of the revenue cycle within the organization. The position works within the Central Business Office (CBO) and with Revenue Cycle leadership to optimize cash flow. The role must have a focus on the quality, efficiency, and productivity of the department to minimize potential risk and to maximize reimbursement for the company.

As the Manager of Credits & Refunds, you will:

• Be responsible for the daily operations of the Credit Balances and Refund Department in the Central Business Office. Develop and maintain quality and productivity standards for the department to ensure staff are meeting standards of performance.
   
• Maintain current knowledge of local, state, and federal government regulations and contractual agreements with third party payers. Develop training programs and materials in conjunction with third party payer billing requirements and governmental regulations.  
   
• Communicate and educate the impact of these requirements to leadership and staff.
   
• Review department workflow to facilitate accurate and efficient processes to minimize risk and to maximize reimbursement. Recommends and develops new procedures to improve the quality and efficiency of refunds and credit balance resolution.
   
• Support CBO leadership in the communication of the organization's and CBO's specific policies, to facilitate and enhance employee engagement.
   
• Responsible for the recruitment and development of staff in the department with a focus on employee engagement and performance. Remains informed and looks for coaching opportunities for Refund Analysts.
   
• Maintain awareness of new enhancements with current systems and applications. Determine needs regarding new credit balance requirements for governmental and contracted payer refunds, data integrity, and expanded use of software applications. Assist in the preparation of the annual budget process to determine manpower, material and capital resources necessary for operational effectiveness for the department.
   
• Perform quality control by reviewing individual patient accounts for account integrity and to ensure that staff is complying with all regulations, policies and procedures. Ensures that all balances moved to patient responsibility are appropriate in accordance with company policies and procedures.
   
• Performs other duties as assigned.

Minimum Requirements

• Bachelors Degree required in Business, Finance, Accounting or related field.
   
• 3 years experience required in Hospital/physician office/other medical billing office setting with experience supervising or coordinating insurance follow-up and accounts receivable activities, with at least 2 years of supervisory experience.
   
• Supervisory experience may be substituted for higher degree i.e., Masters in Business or related degree.

Other Information

• 40 hours a week
• Hybrid (#LI-Hybrid)
• Monday - Friday (8 am - 4:30 pm)
• Great Benefits

#LI-SB1

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.