Address
Form of workThe Accounts Receivable Credit Specialist is responsible for reviewing all insurance and patient credit balances and determine whether a refund, a transfer, a reversal or correction of a contractual allowance may be warranted. Identify trends and the root cause for the credits and work with appropriate parties to minimize refunds.
- Review, investigate and resolve credit activity
- Research claim payment discrepencies and rebill/refund claims as needed
- Initiate refunds of identified overpayments and submit for approval
- Manage the appeal proess for any inappropriate refund requests
- Collaborate with Contract team and Cash App Supervisor to report or make posting corrections, as necessary
- Determine the correct course of action to resolve the refund request or credit balance
- Identify, report and participate with resolving payer processing challenges
- Process payer correspondence
- Other duties as assigned
Education & Experience
- Bachelor Degree or equivalent work experience
- Five or more years of experience with medical insurance and third-party payers
- Experience with durable medical equipment required
- Experience with Brightree DME software preferred
- Previous experience processing refunds
Knowledge & Skills
- Proficient in Microsoft Word, Excel, and Outlook
- Strong analytical and problem-soliving skills
- Ability to work in a fast paced, dynamic and growth environment
- Takes ownership of their assigned responsibilities
- High professional standards and personal and professional integrity
- Proven ability to work with minimal direction, as well as be resourceful and independent in solving problems and multi-task effectively
- Strong attention to detail
- Comfortable working cross functionally within various levels of an organization
- Strong customer service, organizational and communication skills are essential to this position.
- Knowledge of insurance payments and rejections/denial processing
- Strong critical thinking skills
- Strong sense of urgency and delivery of results
- Change Agent
- Integrity and Trust
- Influencing
- Planning
- Data Reporting
- Communication
- Process Management
- Priority Setting
- Peer Relationships
- Problem Solving
$23.41 - $35.10 / HR
Non-Exempt - Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts. Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.
