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

• 1. 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.
  2. 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 NextGen medical billing software will be considered an advantage