Credit Balance Specialist II

MedStar Health; Englewood (CO); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider, Amerita, seeks a Credit Balance Specialist II based in Englewood, CO. This role requires expertise in billing and revenue cycle management, ensuring accurate credit balance categorization while offering competitive pay and comprehensive benefits. Join a dedicated team focused on patient and insurer relations.

Benefits

Medical, Dental & Vision Benefits

401(k) Retirement Plan with Employer Match

Employee Discounts

Tuition Reimbursement

Paid Time Off & Holidays

Qualifications

• One year of experience in Revenue Cycle Management.
• Knowledge of automated billing systems and medical coding practices.
• Strong customer service and communication skills.

Responsibilities

• Ensures daily goals for cash collections and credit balances.
• Maintains insurance contracts and verifies services billed.
• Coordinates offsets and cash research requests.

Skills

Communication

Time Management

Customer Service

Education

High School Diploma or GED; some college desired

Tools

Microsoft Office

CPR+

Waystar

Job description

Credit Balance Specialist II

Job Locations

US-CO-ENGLEWOOD

ID

2025-169290

Line of Business

Amerita

Position Type

Full-Time

Pay Min

USD $19.00/Hr.

Pay Max

USD $20.00/Hr.

Our Company

Amerita

Overview

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Credit Balance Categorization Specialist (CBS-II) will be responsible for facilitating the resolution of insurance and patient credit balances. The Credit Balance Categorization Specialist (CBS-II) will also work closely with other staff to identify, resolve, and share information regarding payer trends and provider updates.

REMOTE - must reside within the Continental USA.

HOURS -Mon - Fri 7:00a - 3:30pm MST

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays

Responsibilities

* Ensures daily goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable, and other departmental goals as outlined
* Adheres to all applicable state and federal regulations and company policies
* Maintains insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds
* Verifies professional billed services for dispensed medication and supplies
* Validates reimbursements and appropriate deductible and cost share amounts to the patient
* Reviews remittance advices, payments, adjustments, insurance contracts and fee schedules, insurance eligibility and verification, and assignment of benefits to determine the correct credit classification
* Coordinates offsets and cash research requests with the cash applications department
* Utilizes approved credit categorization criteria to ensure accurate documentation in CPR+
* Creates patient refund packets and validates receipt of previously submitted payer disputes
* Works within established departmental goals and performance metrics
* Identifies and communicates issues and trends to management

Qualifications

High School Diploma or GED; some college desired
• One year of experience in Revenue Cycle Management, Managed Care, Medicare, and Medicaid Reimbursement
• Knowledge of automated billing systems, metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology; CPR+ and Waystar preferred
• Strong communication, time management, and customer service skills
• Familiarity with Microsoft Office

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Salary Range

USD $19.00 - $20.00 / Hour