Credit Balance Specialist

The Credit Balance Specialist will act as the pivotal point in managing credit balances on Insurance and patient accounts, ensuring strict adherence to California state regulations, and fine-tuning the reimbursement processes in a multispecialty healthcare context.

• 1. Credit Balance Resolution:
  • Analyze and resolve credit balances on patient accounts, ensuring accuracy and timeliness.
  • Coordinate and process voluntary and involuntary refund requests efficiently, maintaining high levels of accuracy.
  • Handle refund requests adeptly, processing them through federal payor portals as per the stipulated guidelines.
  • Engage proactively with insurance companies through calls to determine the true refund amounts and ensure that correct balances are maintained.
  • Document all transactions meticulously, generating detailed reports for audit purposes and regulatory compliance.
  2. Collaborative Communication:
  • Foster collaborative relationships with our US Operations team and inhouse teams to rectify discrepancies and sustain precise account balances.
  • Excellent communication skills.

• Any Degree
• A brief understanding on the entire Medical Billing Cycle.
• Minimum 3+ years of work experience 

• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
• Use of NextGen medical billing software will be considered an advantage