Credit Balance Specialist

Job Description

Responsible for assisting patients enroll in health insurance coverage and ensure they maintain accurate and timely eligibility. Support patients applying for health coverage through Healthcare.gov

or state-based exchanges or through NJ Medicaid. Guide patients through choosing appropriate plans, completing required documentation, and navigating plan rules and deadlines. This role

involves working closely with state health agencies, healthcare providers, and patients to ensure eligibility is accurately determined and documented.

Qualifications

• 3 to 5 years of experience in Patient Finance
• High school diploma or equivalent required
• Associate’s degree in healthcare administration, public health, or related field preferred
• Working knowledge of health insurance terminology and plan structures (e.g., PPO, HMO, etc.)
• Proficiency in data entry systems and healthcare websites
• Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities.
• Ability to interpret responses on Explanation of Benefits and insurance contracts
• Strong understanding of patient co-pays, co-insurance, and deductibles
• Empathetic, patient-first communication style
• Strong attention to detail and accuracy in data handling
• Analytical thinking and problem-solving for eligibility questions
• Ability to initiate and follow through on projects and work independently with minimal supervision
• Possesses and demonstrates excellent communication, organizational, technical, and interpersonal skills
• Previous work in a hospital, managed care organization, or insurance company
  
  

Required Certifications

• Certified Application Counselor (CAC) for ACA Marketplace Enrollment