Credit Balance Specialist

American Vision Partners • Phoenix, AZ

2d

About The Position

As a Credit Balance Specialist, you'll accurately review account credit balances to determine appropriate steps to resolve. You'll also review payment postings, adjustments, and charges to appropriately issue refunds.

Requirements

• High School diploma or equivalent
• 3+ years medical billing experience
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
• Demonstrates computer literacy
• Well-organized with attention to detail
• Ability to read and understand oral and written instructions
• Excellent math skills
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
• Professional customer service skills
• Has a desire and dedication to work with self-discipline
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
• Professional customer services skills

Nice To Haves

• Ophthalmology background desired

Responsibilities

• Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund
• Responsibilities will include accurately posting payments, adjustments and refunds as necessary
• Reviews transactions (payments and adjustments) from various sources on a daily basis. Payments sources include Electronic Remittances, paper checks and EOB’s, patients, collection agency, capitation plans, Care Credit and Patient Portal
• Adheres closely to the department’s payment reconciliation process
• Prioritizes work to maximize turn-around time
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production
• Maintain an error rate in accordance with departmental policy
• Makes changes to demographic information as necessary in order to produce a clean patient statement
• Answer and respond to external and internal phone calls in a timely manner
• Check and respond to emails in a timely and professional manner
• Performs all other assigned duties

Benefits

• Your health, happiness and your future matters!
• At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees