Credit Balance Categorization Specialist / Remote

Amerita•Centennial, CO

1d•$19 - $21•Remote

About The Position

The Credit Balance Categorization Specialist (CBS-II) will be responsible for facilitating the resolution of insurance and patient credit balances. The Credit Balance Categorization Specialist (CBS-II) will also work closely with other staff to identify, resolve, and share information regarding payer trends and provider updates.

Requirements

High School Diploma or GED; some college desired
One year of experience in Revenue Cycle Management, Managed Care, Medicare, and Medicaid Reimbursement
Knowledge of automated billing systems, metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology; CPR+ and Waystar preferred
Strong communication, time management, and customer service skills
Familiarity with Microsoft Office

Responsibilities

Ensures daily goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable, and other departmental goals as outlined
Adheres to all applicable state and federal regulations and company policies
Maintains insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds
Verifies professional billed services for dispensed medication and supplies
Validates reimbursements and appropriate deductible and cost share amounts to the patient
Reviews remittance advices, payments, adjustments, insurance contracts and fee schedules, insurance eligibility and verification, and assignment of benefits to determine the correct credit classification
Coordinates offsets and cash research requests with the cash applications department
Utilizes approved credit categorization criteria to ensure accurate documentation in CPR+
Creates patient refund packets and validates receipt of previously submitted payer disputes
Works within established departmental goals and performance metrics
Identifies and communicates issues and trends to management