Credit Balances Analyst

Healthcare Outcomes Performance Company•Jacksonville, FL

54d•Remote

About The Position

The Credit Balance Analyst is responsible for researching and resolving patient and insurance credit balances, identifying account discrepancies, and processing refund requests.

Requirements

High School Diploma or equivalent required.
2-3 years of medical billing experience required.
Knowledge of physician billing, ICD-10, and CPT coding.
Proficiency with Microsoft Excel, Word, and Outlook.
Strong attention to detail and organizational skills.
Excellent communication and customer service skills.
Ability to analyze account information and work independently in a fast-paced environment.

Nice To Haves

Experience with patient accounts, insurance billing, or payment posting preferred.
Experience with GE Patient Management System preferred.

Responsibilities

Research and resolve patient and insurance credit balances.
Review accounts for posting, payment, and transfer errors.
Determine when an overpayment has occurred and initiate refunds.
Communicate with patients, insurance companies, providers, and internal teams regarding account issues.
Prepare refund requests and supporting documentation for Accounts Payable.
Review claims and payment activity for accuracy.
Identify account trends and discrepancies and communicate findings to management.
Maintain productivity, accuracy, and timely completion of assigned accounts.
Follow all CORE Institute and Business Office policies and procedures.