Credit Balance Rep

Spherion Staffing, LLC; Birmingham (AL); On-site; USD 25,000 - 33,000; Full time

Job summary

Spherion Staffing, LLC is seeking an experienced Professional Billing Credit Balance Representative to join our business office and ensure accurate research and timely resolution of credit balances on professional accounts.

In this role you will analyze credit balances, post refunds, and collaborate with payers using the Epic patient accounting system. Strong attention to detail and healthcare billing knowledge are essential for success in a dynamic, team-based environment.

Qualifications

• Medical insurance experience required.
• Attention to detail is essential.
• Data entry skills are required.
• Must read and interpret EOBs.
• Flexible and team-oriented.
• Able to communicate on the telephone.
• Proficient in multiple computer systems.
• HIPAA and confidentiality knowledge.

Responsibilities

• Analyze credit balances to determine cause and resolution.
• Use Epic patient accounting system to post refunds.
• Collect supporting documentation from payer websites.
• Process and post payments, refunds, and adjustments.
• Monitor trends and document posting issues.
• Maintain credit balance status and reporting.
• Assist in development of credit balance reports for payers.
• Coordinate with insurance to identify owner of the credit balance.

Skills

Medical insurance experience

Attention to detail

Data Entry skills

Must be able to read and interpret EOB

Flexibility

Teamwork

Telephone communication proficiency

Ability to work in multiple computer-s

HIPAA and Confidentiality knowledge

Education

No Degree Required

Job description

The experienced professional billing credit balance representative will work as a member of our business office to support efficient research and proper resolution of credit balances on professional billing accounts.

Responsibilities

• Responsible for analyzing credit balances to determine the cause of the credit balances, facilitate account resolution of credit balances and posting of refunds as needed working in the Epic patient accounting system.
• Utilize software applications, payer websites and document management systems to collect supporting documentation as required for each credit balance account.
• Adhere to existing standard policy and procedure while working each credit balance.
• Process and post payments, refunds and adjustments with the goal of accuracy and customer satisfaction.
• Monitor and report to management any trends identified and document cash posting/credit balance/refunding issues.
• Maintain on-going credit balance status and financial reporting.
• Support the development of credit balance reports as required by governmental payers.
• Work with insurance companies and follow billing guidelines to determine who is the correct owner of a credit balance.

Working Hours

Working hours: 8:00 AM - 5:00 PM

Skills

see required

Education

No Degree Required

Experience

1-4 years

Qualifications

• Medical insurance experience
• Attention to detail
• Data Entry skills
• Must be able to read and interpret EOB's
• Flexibility
• Teamwork
• Telephone communication proficiency
• Ability to work in multiple computer systems
• HIPAA and Confidentiality knowledge

Benefits & Compensation

• Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.
• In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

Equal Opportunity

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.

If you require a reasonable accommodation to make your application or interview experience a great one, please contact [e-mail].

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