Credit Balance Specialist jobs in the United States

Description
As a Credit Balance Specialist, you will process billing refunds with the goal of account accuracy and customer satisfaction with every encounter. A successful Credit Balance Specialist works to facilitate resolution of refunds through attention to detail, problem solving initiative and a dedication to efficient service for patients and insurance companies.

Key Responsibilities
Accurately and effectively research and resolve payment credits and offsets through transfer of payments and/or initiation of refunds to patients, government payors and insurance companies.

Correct posting errors as appropriate and provides feedback to lead and/or management team.

Provides written response to insurance companies regarding refund requests.

Ensures compliance with applicable laws, HIPAA regulations, CMS regulations, and company policies.

Contributes to improvement of billing and cash posting procedures and processes.

Prepare and distribute customer refund documentation.

Process refunds returned by customers.

Maintain appropriate documentation and refund records.

Perform manual posting of various commercial insurance, government payors, and patients.

Escalates problem accounts to management as required by circumstances.

Performs other duties as assigned.

Communicate trends and opportunities for improvement to management.

Maintain working knowledge of workflow, systems, and tools used in the department.

Create and distribute monthly compliance credit balance report.

Responsible for escalating non-compliant customers. A customer is non-compliant if a refund is not issued within 30 days from delivery of refund file.

Responsible for creating and monitoring reporting to identify overpayments that do not result in a credit balance on the account.

Other duties as assigned.

Skills / Requirements
3 years medical collections experience preferred.

2 years medical payment posting experience preferred.
High School diploma or GED equivalent.
Ability to exercise discretion on sensitive and confidential matters.
Demonstrated ability to communicate effectively on the phone, in writing and via email.
Demonstrated computer skills with data entry software.
Ability to apply mathematical concepts and calculations.
Ability to adapt to a fast-paced environment and learn and retain new or evolving information and procedures.
Ability to work in a team environment.

55 wpm keyboarding skills with 95% accuracy.
Experience with 10 Key.

The hourly compensation for this position is $18.49-$22.84. Final compensation will be determined by various factors such as a candidate’s relevant work experience, skills, certifications, and location.

Golden Hour appreciates and values diversity. We are an equal opportunity employer and do not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, gender identity, genetic information, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.