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Credit Balance Specialist

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Full time
Work from: 
Ohio (USA), United States

Offer summary

Qualifications:

High school diploma or GED required, Advanced knowledge of insurance payer processes, Experience in EPIC billing preferred, Knowledge of EOB and cash posting preferred.

Key responsabilities:

  • Analyze posted transactions for credit balances
  • Resolve potential credit balances accurately
Dayton Children's Hospital logo
Dayton Children's Hospital Large https://www.childrensdayton.org/
1001 - 5000 Employees
About Dayton Children's Hospital
Dayton Children's Hospital is the only facility in the region devoted to the health, safety and information needs of children and their families. Dayton Children's is staffed by pediatricians, pediatric specialists and clinical staff with special training and experience in caring for children. In addition, everything from room decor to life-saving equipment in is designed with the comfort of children in mind. As a regional referral center, Dayton Children's draws patients from a 20-county area that includes Ohio and eastern Indiana. Dayton Children's affiliation with Wright State University School of Medicine and accreditation by the Joint Commission on Accreditation of Healthcare Organizations ensures young patients the finest pediatric care available. Dayton Children's staff of over 200 physicians and residents includes primary care pediatricians as well as subspecialists in over 35 areas of pediatric medicine. Working as a team with the medical staff are more than 3500 employees and volunteers who share a commitment to quality care no matter what their specific titles or duties.
See more Dayton Children's Hospital offers

Job description

Facility:
Work From Home - Ohio
Department:
Patient Financial Services
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).

Department Specific Job Details:

Shift

  • Monday-Friday
  • 6a-6p (flexible)
  • No weekends or holidays

Education

  • High school diploma or GED

Experience

  • EPIC billing experience (preferred)
  • Cash posting experience (preferred)
  • EOB knowledge (preferred)

Education Requirements:

GED, High School (Required)

Certification/License Requirements:

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Credit AnalysisExplanation Of Benefits (EOB)BillingCash Posting

Other Skills

  • Detail Oriented
  • Critical Thinking
Are you interested?

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