Summary
The Credit Balance Specialist will act as the pivotal point in managing credit balances on Insurance and patient accounts, ensuring strict adherence to California state regulations, and fine-tuning the reimbursement processes in a multispecialty healthcare context.
What you'll do
-
- Credit Balance Resolution:
- Analyze and resolve credit balances on patient accounts, ensuring accuracy and timeliness.
- Coordinate and process voluntary and involuntary refund requests efficiently, maintaining high levels of accuracy.
- Handle refund requests adeptly, processing them through federal payor portals as per the stipulated guidelines.
- Engage proactively with insurance companies through calls to determine the true refund amounts and ensure that correct balances are maintained.
- Document all transactions meticulously, generating detailed reports for audit purposes and regulatory compliance.
- Collaborative Communication:
- Foster collaborative relationships with our US Operations team and inhouse teams to rectify discrepancies and sustain precise account balances.
- Excellent communication skills.
What you have
- Any Degree
- A brief understanding on the entire Medical Billing Cycle.
- Minimum 3+ years of work experience
Nice-to-haves
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
- Use of medical billing software will be considered an advantage
