Credit Balance Specialist
2 weeks ago
Piedmont Urgent Care Defunct is seeking a highly skilled Credit Balance Specialist to join our team. As a Credit Balance Specialist, you will play a critical role in analyzing credit balances and ensuring accurate and timely refunds.
Key Responsibilities:- Analyze credit balances and determine the most efficient process to resolve refund requests and credit balances
- Post missing non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments to balance
- Update and maintain all logs and spreadsheets used for reconciliation
- Maintain or exceed established productivity goals and quality standards
- Manage daily credit refund work queues
- Determine the most efficient process to resolve refund requests and credit balances
- Maintain current knowledge of insurance policies and processes and work with payers to understand and adopt workflows to manage cash application effectively
- Utilize all available resources (EOBs, Waystar, Change, payor websites, Availity, etc.) to ensure refunds/take-backs (recoupments) are adjudicated correctly
- Notify payors of initiated takebacks and submit to management for prior approval
- Update Epic to ensure proper documentation for refunds and maintain optimal payer mapping
- Proactively recognize, report, and resolve trends in revenue recognition
- Identify trends and recommendations to improve revenue cycle processes
- Conduct research and ad-hoc analysis to support revenue cycle goals
- Communicate across teams, providing analytical overviews on key metrics
- Partner with finance, client sites, internal and external billing team to ensure complete billing system and bank reconciliation
- Assist, as needed, with any other business needs
- 3+ years working with patient accounts
- High School Diploma
- Some college preferred
- Critical thinking with demonstrated ability to identify root cause of issues and follow-through to resolve
- Advanced knowledge of insurance payers, and the AR/revenue billing lifecycle
- Excellent Computer skills - expertise in MS word suite including Word, Excel, and PowerPoint
- Experience in using one or more Practice Management Systems/Billing Software; EPIC preferred
- Clear understanding of the impact of payment applications and credit processing has on RCM operations and financial performance
- Ability to work within a team environment and maintain a positive attitude
- Excellent documentation, verbal, and written communication skills
- Extremely organized with a strong attention to detail
- Self-motivated, dependable, and flexible with the ability to handle periods of stress and pressure
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Newnan, Georgia, United States Piedmont Urgent Care Defunct Full time{"title": "Credit Balance Specialist", "description": "Job SummaryPiedmont Urgent Care Defunct is seeking a skilled Credit Balance Specialist to join our team. As a key member of our revenue cycle operations, you will play a critical role in ensuring accurate and timely processing of credit balances.Key ResponsibilitiesPost missing non-EDI payments,...
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