Credit Balance Specialist

Found in: Resume Library US A2 - 7 days ago


Phoenix Arizona, United States American Vision Partners Full time
Company Intro:
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees

Overview:
As a Credit Balance Specialist, you'll accurately review account credit balances to determine appropriate steps to resolve. You'll also review payment postings, adjustments, and charges to appropriately issue refunds.

Responsibilities:

Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund

Responsibilities will include accurately posting payments, adjustments and refunds as necessary

Reviews transactions (payments and adjustments) from various sources on a daily basis.  Payments sources include Electronic Remittances, paper checks and EOB’s, patients, collection agency, capitation plans, Care Credit and Patient Portal

Adheres closely to the department’s payment reconciliation process

Prioritizes work to maximize turn-around time

Meets or exceeds productivity standards in the completion of daily assignments and accurate production

Maintain an error rate in accordance with departmental policy

Makes changes to demographic information as necessary in order to produce a clean patient statement

Answer and respond to external and internal phone calls in a timely manner

Check and respond to emails in a timely and professional manner

Performs all other assigned duties

Qualifications:

High School diploma or equivalent

3+ years medical billing experience

Ophthalmology background desired

Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies

Demonstrates computer literacy

Well-organized with attention to detail

Ability to read and understand oral and written instructions

Excellent math skills

Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients

Professional customer service skills

Has a desire and dedication to work with self-discipline

Ability to maintain the 

Benefits & Perks:
Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more



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