Remote Credit Specialist - Refunds & AR Analysis

Clinical Health Network for Transformation; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

The Clinical Health Network for Transformation seeks a Credit Specialist to resolve patient account credit balances by analyzing payments and adjustments. The role supports timely refunds and compliance with payer contracts.

Responsibilities include researching credits, preparing refund requests, correcting payments, and documenting actions in EPIC. A healthcare AR background and commitment to health equity are essential in a fast-paced environment.

Qualifications

• Minimum 3 years of accounts receivable experience with understanding of coordination of benefits.
• Strong analytical skills and proficiency in Microsoft Excel and EPIC.
• Commitment to health equity and ability to work in a fast-paced environment.

Responsibilities

• Resolve credit balances on patient accounts by analyzing payments and adjustments.
• Research and investigate credit balances to determine if overpayments have been made.
• Prepare refund requests, perform payment corrections, and transfer patient payments as needed.
• Maintain accurate documentation in EPIC and follow up on refund/offset requests.
• Ensure timely refund processing and compliance with payer contracts and regulations.

Skills

Accounts receivable

Analytical skills

Coordination of benefits

Tools

EPIC

Microsoft Excel

Job description

The Clinical Health Network for Transformation seeks a Credit Specialist to resolve patient account credit balances by analyzing payments and adjustments. The role supports timely refunds and compliance with payer contracts.

Responsibilities include researching credits, preparing refund requests, correcting payments, and documenting actions in EPIC. A healthcare AR background and commitment to health equity are essential in a fast-paced environment.