Credit Management Representative

The Credit Management Representative is responsible for credit balance management, including triaging patient and insurance credit balance, correcting contractual/manual adjustments, and preparing refund requests.

Requirements

• High School diploma or equivalent required
• 1-year experience in insurance collections, credit balance management and or payment posting
• 1-3 years experience in Physician/Professional billing
• Working knowledge of the insurance follow-up process with the understanding of the fundamental concepts in healthcare reimbursement methodologies
• Understanding an EOB and what the remarks or denials mean
• Basic knowledge of healthcare claims processing including ICD-10, CPT, and HCPC codes
• Ability to work well individually and in a team environment
• Proficiency with Microsoft Office
• Strong communication skills/oral and written
• Strong organizational skills