We are looking for a Credit/Refunds Specialist, who performs accounts receivable analysis and resolves credit balances of patient accounts. This position verifies the accuracy of contractual allowance adjustments, any manual adjustments, and the payments posted on the accounts. Determines if a patient refund is due, processes the request when appropriate. Develops root-cause analysis of credit balances and communicates issues back to management for continual process improvement opportunities.

Reponsabilites:

• Applies knowledge related to interpreting explanation of benefits and regulations concerning coordination of benefits and other applicable guidelines. This includes being able to assess that reimbursement, allowances, and patient payments received are applied correctly
• Resolves accounts by various methods that include making adjustments, transferring funds, corresponding with necessary contacts, responding to inquiries, utilizing various tools for addressing discrepancies and initiating recoupment requests, and processing refunds, all in accordance and in compliance with company, state and federal policies, regulations and procedures.
• Makes corrections on credit balance accounts as necessary.
• Follows up on self-pay/patient refunds as needed.
• Monitors, manages, and resolves unapplied and unassigned payments/credits in the patient credit workbaskets.
• Performs additional duties as needed to assist the department.
• Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

Minimum Qualifications:

• Position requires a high school diploma or equivalent
• 2 years prior billing experience
• Proficiency in Microsoft Office programs such as Word, Excel, and Outlook.
• Ability to maintain records, follow oral and written directions, perform basic computer functions. Establish and maintain cooperative working relationships

Preferred Qualifications:

• Associates degree
• Certification in billing and coding

The Company is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness. All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.

Job Type: Full-time

Salary: $18.50 - $19.50 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Associate (Preferred)

Experience:

• Medical billing: 2 years (Preferred)

License/Certification:

• Billing and coding certification (Preferred)

Work Location: In person