Credit Processing Specialist, FT, Days, - Remote
On-siteColumbia, South Carolina, United States
Job Summary
Analyze physician and hospital accounts, interpret revenue cycle data, and determine reasons for denials, non-payment, and overpayments. Post and correct electronic remittances, follow up with government payers, and apply coding guidelines to prepare accounts for appeal. Resolve credit balances, including unapplied and undistributed amounts, by contacting payers and conducting hard inquiries. Document billing activity and compliance issues per departmental guidelines while ensuring adherence to HIPAA and regulatory requirements. Escalate problem accounts as needed and participate in special assignments. Requires two years of billing or accounting experience.
Required Qualifications
- High School diploma or equivalent OR post-high school diploma / highest degree earned
- Two (2) years billing, bookkeeping, accounting experience
- Knowledgeable of the job functions required for a Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist
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