Position Summary: The Credit Balance Analyst is responsible for processing refunds for third party insurance, Medicare, Medicaid, and Government-Assisted Programs; for both hospital and professional billing. Candidate will be expected to comply with all regulatory bodies and agencies. This will be accomplished by reviewing credit balances on accounts, to resolve by correction, refund or inquiry, and ensures compliance with internal and external customers via verbal and written communication. Candidate will also be responsible for incoming refund request letters from the insurance company. Candidate will be responsible to research and validate refund request. Candidate must have excellent customer service skills to communicate with internal and external customers. Candidate will be expected to use electronic billing. Candidate must demonstrate critical thinking skills to manage day to day basic operations or the ability to seek assistance when needed. Candidate must be able to do work steadily, efficiently and show constant vigilance to the details of the work. Candidate must be able to utilize all office equipment including personal computer and application software, printer, fax, copier, and multi-line phone system. Candidate must have good working knowledge of all insurance and/or Government rules regarding payment, credit procedures, claims submittal and appeal process. Candidate must have excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Candidate must be able to use appropriate reference materials when needed. Candidate should be able to multi-task when needed.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees