Credit Balance Specialist - Medical Claims

POSITION SUMMARY:

The Credit Balance Specialist plays a key role in supporting OS revenue cycle management projects. The successful candidate is responsible for resolving insurance and patient over payments, undistributed payments, and requests for refunds. This involves researching insurance benefits, understanding coordination of benefits between payers, distributing/reapplying or transferring payments to the appropriate date of service/provider or account. Additionally responsible for updating account adjustments, generating refund requests, over payment notifications according to client contract guidelines as well as state and federal insurance regulations.

• Must have a minimum of one year revenue cycle AR knowledge.
• General understanding of accounting principles desired.
• Knowledge of medical insurance terminology, posting, and billing forms.
• Must be efficient, productive, and fast moving.
• Must be able make impactful decisions efficiently based on insurance and revenue cycle guidelines.
• Must have phenomenal organization and computer skills and be technically proficient in Microsoft software products including Word, Excel, and Outlook.
• Ability to handle multiple tasks simultaneously, meet time sensitive deadlines and organize workload with general supervision.
• Demonstrated ability to compose clear and accurate routine and non-routine correspondence.