Credit Balance Specialist

The Credit Balance Specialist will manage credit balances on Insurance and patient accounts, ensuring adherence to California state regulations, and fine-tuning the reimbursement processes in a multispecialty healthcare context.

Requirements

• Analyze and resolve credit balances on patient accounts, ensuring accuracy and timeliness.
• Coordinate and process voluntary and involuntary refund requests efficiently, maintaining high levels of accuracy.
• Handle refund requests adeptly, processing them through federal payor portals as per the stipulated guidelines.
• Engage proactively with insurance companies through calls to determine the true refund amounts and ensure that correct balances are maintained.
• Document all transactions meticulously, generating detailed reports for audit purposes and regulatory compliance.
• Foster collaborative relationships with our US Operations team and inhouse teams to rectify discrepancies and sustain precise account balances.
• Excellent communication skills.