Credit Balance Specialist
Credit Balance Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Credit Balance Specialist
ON-SITE
Camp Hill PA
Responsible for facilitating the resolution of insurance and patient credit balances and issuing refunds and/or redeterminations as appropriate.
We offer an exceptional employee experience full-time hours full benefits paid training and advancement team offers flexible first shift Monday through Friday schedules. This would include two fifteen minute breaks and one half-hour lunch. We allow for casual work attire jeans are our norm!
Responsibilities
- Responsible for timely and accurate review and resolution of credit balance accounts including any refund requests or recoup/offset notifications.
- Completes due diligence on all refund requests to ensure that the request is valid and accurate in terms of payer contracts insurance processes coordination of benefits claims processing and state and federal statutes regarding overpayment regulations.
- Processes adjustments for accounts with credit balances that have occurred due to posting corrections write-offs and rate changes.
- Prepares refund packets with all supporting documentation and required forms.
- Maintains a productivity of 15 accounts per day. This is subject to change based on volume changes and operational needs.
- Make outgoing calls to patients insurance companies and attorneys regarding refund requests to ensure timely resolution of credit balances.
- Notify database operations of changes or additions to specific payor plan contract address or other pertinent information as necessary.
- Meet the expectations for quality and cash targets as set forth by management.
- Supports the mission/core values and direction of Select Medical both within the CBO and throughout the organization.
- Performs other duties or special projects as assigned.
Qualifications
- Good interpersonal oral and written communication skills.
- Excellent problem solving skills.
- Good organizational skills.
- Ability to work independently with minimal instruction or supervision
- Knowledge of insurance practices contracts and managed care preferred.
- Required to be proficient in Windows based office technologies (ex. Word Excel Outlook).
- Ability to walk stand bend and reach consistently throughout a work day/shift.
- Appropriate manual dexterity to enable typing (including10-key) throughout a work day/shift.
- Ability to lift up to 25lbs safely from ground to waist using proper body mechanics.
- Ability to carry office supplies up to 10lbs.
- High School diploma or GED required.
- One to two years of computer accounting collections and high volume medical billing and/or insurance claims processing experience preferred.
Additional Data
Select Medical strives to provide our employees with a solid work-life balance as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
- An extensive and thorough paid orientation program.
- Paid Time Off (PTO) and Extended Illness Days (EID).
- Health Dental and Vision Insurance; Life insurance; Prescription coverage.
- A 401(k) retirement plan with company match.
- No Required Weekends
Equal Opportunity Employer/including Disabled/Veterans
Required Experience:
Unclear Seniority
Employment Type
Unclear
