Credit Balance Specialist

Position Overview:

We are seeking a detail-oriented Credit Balance Specialist to join our remote team. This role is essential in ensuring accurate financial processes and maintaining strong relationships with patients and payers. If you have a solid background in credit balances and reimbursement processes, we want to hear from you!

Key Responsibilities:

• Verify the accuracy of reimbursements to address credit balances and take necessary actions.
• Process refunds to payers and patients after thorough investigation when justified.
• Handle refund requests swiftly after appropriate validation.
• Make required account adjustments or refunds in compliance with departmental, organizational, or governmental policies.
• Identify trends in credit balances and provide insights to supervisors to help mitigate future occurrences.
• Ensure timely review and resolution of assigned work queues.
• Perform other related tasks as assigned.

Must-Have Qualifications:

• 2-3 years of experience in credit balance/cash posting.
• Inpatient and outpatient experience.
• Proficiency in UB-04 and CMS 1500 forms.
• Experience with over-adjustments, recoupments, and offset payments.
• Familiarity with all payors (excluding Auto, TPL, Work Comp, and Self-pay).

Preferred Qualifications:

• Experience with Cerner.
• Knowledge of payment posting.

Work Environment:

• Business casual attire.

Training:

• Comprehensive training with your direct manager, including heavy shadowing of the job and team members.
• A structured training agenda will be provided.
• Collaborate with colleagues and managers before engaging directly with patients.

Medix is acting as an Employment Business in relation to this vacancy.