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HarrisPosted 1 month ago

(Remote) Credit Balance Representative

$37,440–$52,000 year

RemoteUnited States

Full TimeEnterprise

Job Summary

Analyze insurance and patient payments to determine credit balance causes, identify overpayments, and request compliant refunds. Process payments, refunds, and adjustments to ensure account accuracy while facilitating resolution through attention to detail and problem-solving. Monitor trends, document cash posting issues, and develop workflows to improve internal efficiency. Maintain the Quality Management System, adhere to HIPAA regulations, and provide training in areas of expertise. Respond to communications and complete special projects assigned by leadership to enhance departmental operations.

Required Qualifications

  • Basic knowledge of business office terminology
  • Proven ability to understand and interpret reason for patient accounting credit balances, payor overpayments
  • Knowledge of the full revenue cycle process
  • Good interpersonal skills that include the ability to effectively communicate in both writing and verbally
  • Detail oriented
  • Ability to function effectively under stress
  • Organized
  • Ability to multi-task
  • Analytical skills
  • Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
  • Flexible with a can do attitude
  • Ability to remain professional under high pressure situations
  • Ability to retain and protect confidential material
  • Ability to prioritize customer issues and escalate or solve with urgency
  • 2 years or more experience in reimbursement and/or accounts receivable setting
  • Hospital or hospital central billing office setting
  • Must be able to follow directions and to perform work according to department standards when no directions are given
  • Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.)
  • AS400 knowledge
  • Customer Service oriented
  • High Speed Internet access (minimum 300 Mbps download speed) and unlimited data
  • Smart phone for Multi Factor Authentication (MFA) application
  • Central timezone

Desired Qualifications

  • Master's degree preferred

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