AR/Credit Specialist

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Job description

The Accounts Receivable Credit Specialist is responsible for reviewing all insurance and patient credit balances and determine whether a refund, a transfer, a reversal or correction of a contractual allowance may be warranted. Identify trends and the root cause for the credits and work with appropriate parties to minimize refunds.

We are seeking an individual with experience in medical insurance, third-party payers and processing refunds

Primary Responsibilities:

• Review, investigate and resolve credit activity
• Research claim payment discrepancies and rebill/refund claims as needed
• Initiate refunds of identified overpayments and submit for approval
• Manage the appeal process for any inappropriate refund requests
• Collaborate with Contract team and Cash App Supervisor to report or make posting corrections, as necessary
• Determine the correct course of action to resolve the refund request or credit balance
• Identify, report and participate with resolving payer processing challenges
• Process payer correspondence
• Other duties as assigned

This person will be working on a team with the Collections Manager and others, including one person who solely works on all of payer credit who they will be working closely with.
They will also work with other departments like finance and collections on cash app, contracting and other issues. They must be very comfortable talking on the phone with different payers for a lot of the day.

Work Model:
Our client is currently operating in a hybrid work model, individuals are asked to be in office 2 days per week.

Compensation:
$55,000 - $58,000 annual salary

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