Refund/Credit Balance Specialist
About The Position
The Refund/Credit Balance Specialist is responsible for ensuring all outstanding credits tied to a specific accession are researched to validate any refund needed back to the patient, payor, and/or client. This is done by reviewing all corresponding EOB’s, patient payments, and/or client invoices. This role requires a strong team player, who can partner with others to share information. You will also be highly organized with excellent follow-up and comfortable in a fast-paced environment. This is an excellent opportunity to develop your career in the field of Revenue Cycle Management. This position will be located at our offices in Charleston, SC. This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.
Requirements
- Detail-oriented, organized, and proactive
- Communicate clearly and confidently, both in writing and in conversation
- Eager to learn, ask great questions, and work with others to solve problems
- Possess the ability to translate technical concepts to a non-technical audience
- Ability to identify denial issues from insurance payors
- High School diploma required
- 1-year related experience in medical field
- Professional working experience in MS Suite
- Understanding of medical terminology
Nice To Haves
- Associate degree or higher preferred
Responsibilities
- Oversight and management of vendor clarifications and timely turnaround time on all outstanding credit balance accounts
- Assist in monitoring production and quality assurance for vendor and work assigned
- Work all escalated accounts in a timely manner
- Ensure that we maintain compliance based on XIFIN and governmental guidelines to ensure no more than a 60-day turnaround time, depending on payor
- Make calls to payors when unclear on who should be refunded based on documentation in review.
- Understanding regulations at a payor level pertaining to credit balance procedures & processes
Benefits
- Comprehensive health benefits including medical, dental, vision, and telehealth
- 401(k) with company match and personalized financial coaching
- Health Savings Account (HSA) with company contributions
- Wellness incentives that reward your preventative healthcare activities
- Tuition assistance
- Flexible time off
- Company-paid holidays
- Social and fun events to build community
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
