Credit Balance Resolution Specialist

Brooks Rehabilitation; Jacksonville (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive Pay

Benefits package

Vacation/PTO

Retirement Plan

Employee Discounts

Professional Development

Job summary

Priority Dispatch Corp. in Jacksonville, FL is seeking a Credit Resolution Specialist to resolve insurance and patient credit balances while ensuring HIPAA compliance and accuracy within the revenue cycle.

You will research, follow up, and resolve balance claims across payer systems, document clearly, and collaborate with departments to identify trends and prevent recurring issues.

Qualifications

• High School Diploma or equivalent required.
• 2+ years’ experience with accounting, transactions or medical billing systems a plus.
• Health care and medical billing/collections/credit remediation or reimbursement experience preferred.
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
• Strong insurance billing background in a healthcare business office preferred.
• Ability to review accounts for proper posting of payments.

Responsibilities

• Research, initiate follow-up and resolve all credit balance claims (paid more than expected).
• Navigate through payer systems and internal systems to ensure timely and accurate resolution of claims.
• Superior problem solving and analytical skills.
• Identify trends and escalate where appropriate.
• Respond to information requests and resolve accounting discrepancies.
• Resolves unidentified payments through research.
• Maintain accurate, clear, concise and complete account notes and information.
• Process internal and external refund requests.
• Stay organized and manage large amounts of detailed information.
• Stay current on healthcare reimbursement communications and regulatory changes.
• Maintain confidentiality of all patient information in accordance with HIPAA.
• Comply with applicable laws, regulations and company policies.

Skills

Excel & Outlook

Accounting basics

Medical billing knowledge

Customer service

Education

High School Diploma or equivalent

Tools

Microsoft Office

Healthcare billing systems

Job description

Job DetailsJob Location: Samuel Wells - Jacksonville, FL 32216Position Type: Full TimeJob Shift: AnyJob Category: ClericalThe Credit Resolution Specialist is responsible for facilitating the resolution of insurance and patient credit balances to enable patient satisfaction and compliance with federal or state regulations. This role requires strong problem solving skills, attention to detail, and research in the patient accounting system to achieve credit resolution. Root cause analysis and trending will be performed to identify reoccurring issues generating credits. The credit specialist will partner with other areas of the revenue cycle to communicate issues causing credits, and potential remediation steps to prevent them from occurring in the future. This role will require adherence to quality assurance metrics, as well productivity standards to ensure credit resolution metrics are met.

Responsibilities:

• Research, initiate follow-up and resolve all credit balance claims (paid more than expected)
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution claims
• Superior problem solving and analytical skills
• Identify trends and elevate where appropriate.
• Respond to requests for information and resolve accounting discrepancies.
• Resolves unidentified payments through research.
• Maintain accurate, clear, concise and complete account notes and other relevant information.
• Process internal and external refund requests.
• Strong organizational skills with an ability to effectively manage large amounts of detailed information
• Stay current on communications relating to healthcare reimbursement and regulatory changes
• Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.
• Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as Brooks policies and procedures in all aspects of job performance.

Qualifications:

• High School Diploma or equivalent required
• 2+ years’ experience with accounting, transactions or medical billing systems a plus
• Health care and medical billing/collections/credit remediation or reimbursement experience is preferred
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook
• A strong insurance billing background in a healthcare business office is strongly preferred.
• Ability to review accounts for proper posting of payments.
• Ability to figure discounts accurately and adjust accounts appropriately.
• Experience in calling insurance companies regarding refund requests with the ability to dispute any incorrect refund request.
• Ability to speak to patients in a professional and caring manner.
• Must be detailed oriented and be able to do multiple tasks.

Hours:

Monday - Friday, 40 hours per week

Location:

3599 University Blvd South, Jacksonville, FL 32216

Compensation:

Experience, education and tenure may be considered along with internal equity when job offers are extended.

Benefits:

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan
• Employee Discounts
• Clinical Education and Professional Development Programs