The Credit Balance Specialist is responsible for facilitating the resolution of insurance and patient credit balances to enable patient satisfaction and compliance with federal or state regulations. This role requires strong problem-solving skills attention to detail and research in the patient accounting system to achieve credit resolution. Root cause analysis and trending will be performed to identify reoccurring issues generating credits. The credit specialist will partner with other areas of the revenue cycle to communicate issues causing credits and potential remediation steps to prevent them from occurring in the future. This role will require adherence to quality assurance metrics as well productivity standards to enable credit resolution metrics are met.
High School Diploma or GED required.
2-years relevant experience in credit resolution preferred.
Previous Healthcare experience preferred.
Healthcare Financial Management Association (HFMA) Certification Preferred.
Ability to read and communicate effectively in English Basic. Computer/keyboarding skills intermediate mathematic competency. Good written and verbal communication skills. Knowledge of proper phone etiquette and phone handling skills. Must maintain regular and acceptable attendance; may be required to work weekend holiday or OT hours. Knowledge of and experience with Epic is preferred. General knowledge of medical billing procedures and collections processes preferred. Experienced and knowledgeable in state and federal credit submission guidelines preferred. General knowledge of healthcare terminology preferred Knowledge of contracted payers preferred. CPAT and/or CCAT.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview a question will appear on your screen and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Required Experience:
IC
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