Credit Balance Specialist

Select Medical • Camp Hill, PA

92d • $18

About The Position

The Credit Balance Specialist is responsible for identifying, researching and resolving credit balances on patient and insurance accounts. This role requires a solid understanding of payer contracts, reimbursement terms and billing practices. The ideal candidate demonstrates sound judgment and initiative – taking timely action on known issues and promptly escalating complex or unfamiliar situations to management. A proactive, solutions focused mindset and the ability to work both independently and collaboratively are essential to success in this position.

Requirements

• 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.
• Strong 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 (including 10-key) throughout a work day/shift.

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.
• Independently research and resolve aged credit balances.
• Processes adjustments for accounts with credit balances that have occurred due to posting corrections, write-off’s and rate changes.
• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees