Credit Balance Resolution Specialist (2908)

Priority Dispatch Corp.; Jacksonville (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive pay

Comprehensive benefits

Paid time off

Retirement plan

Employee discounts

Professional development programs

Job summary

Priority Dispatch Corp. is seeking a Credit Resolution Specialist in Jacksonville, FL to facilitate resolution of insurance and patient credit balances.

The role emphasizes problem solving, attention to detail, and research within patient accounting systems to achieve credits while maintaining HIPAA compliance. Key duties include researching and resolving credit balance claims, interacting with payer systems, identifying trends, and ensuring timely, accurate resolutions in line with regulatory

Qualifications

• High School Diploma or equivalent required.
• 2+ years’ experience with accounting, transactions or medical billing systems a plus.
• Healthcare billing/collections/credit remediation experience preferred.
• Intermediate computer proficiency in Excel and Outlook.
• Strong insurance billing background in a healthcare business office 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.
• Ability to speak to patients in a professional and caring manner.
• Detail oriented and able to multitask.

Responsibilities

• Research, initiate follow-up and resolve all credit balance claims (paid more than expected).
• Navigate payer systems and internal systems to ensure timely and accurate resolution of claims.
• Identify trends and elevate where appropriate.
• Respond to information requests and resolve accounting discrepancies.
• Maintain accurate account notes and information.
• Process internal and external refund requests.
• Stay current on healthcare reimbursement regulations and HIPAA guidelines.
• Comply with laws and company policies.

Skills

Analytical skills

Research ability

Microsoft Office

Education

High School Diploma

Tools

Microsoft Excel

Microsoft Outlook

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