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Credit Balance Specialist

EXTRA HOLIDAYS - EXTRA PARENTAL LEAVE
Remote: 
Full Remote
Contract: 
Experience: 
Entry-level / graduate
Work from: 

Offer summary

Qualifications:

High School diploma or GED required, Advanced knowledge of insurance payment processes.

Key responsabilities:

  • Analyze posted transactions for credit balances
  • Resolve potential credit balances for payers and patients
  • Correct account postings or issue refunds as necessary
Dayton Children's Hospital logo
Dayton Children's Hospital Large https://www.childrensdayton.org/
1001 - 5000 Employees
See more Dayton Children's Hospital offers

Job description

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Your missions

Facility:
Work From Home - Ohio
Department:
Customer Service and Cash Applications
Schedule:
Full time
Hours:
40
Job Details:
The Credit Balance Specialist analyzes posted transactions to determine why there is a credit balance and is responsible for accurate completion and resolution of potential credit balances for health plan payers and patients/guarantors. This position requires detailed analysis and critical thinking to determine what is necessary to correct an account. Must have advanced knowledge of Insurance payer payment processes and ability to read Explanation of Benefits. After review, if 1) a refund is appropriate to either the patient or insurance company, 2)a payment transfer is necessary, or 3) a reversal or correction of a contractual allowance or an administrative adjustment is warranted, then the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s).

Hours - 8:00 - 4:30 - M-F

Department Specific Job Details:

Education Requirements:

GED, High School (Required)

Certification/License Requirements:

Required profile

Experience

Level of experience: Entry-level / graduate
Spoken language(s):
Check out the description to know which languages are mandatory.

Soft Skills

  • Critical Thinking
  • Analytical Thinking
  • Customer Service
  • Detail Oriented

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