Credit Balance Executive
1 week ago
Role & responsibilities
- Analyze credit balances and determine the root cause (e.g., over payments, duplicate payments, misposted adjustments).
- Resolve credits through refunds, adjustments, or re-billing as appropriate.
- Process insurance and patient refunds accurately and timely.
- Ensure compliance with payer guidelines, HIPAA regulations, and company policies.
- Work closely with other RCM departments (billing, collections, payment posting) to investigate discrepancies.
- Maintain documentation and notes for all actions taken on accounts.
- Respond to internal and external refund inquiries professionally and efficiently.
- Participate in audits and assist with month-end reporting related to credit balances.
- Meet or exceed daily and monthly productivity and quality targets.
Preferred candidate profile
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