Credit Management Representative

reputed company The Credit Management Representative is responsible for reputed company reputed company of Credit Balance Management which include but is not limited to: Triaging patient and insurance credit balance to determine reputed company cause, correcting contractual/reputed company adjustments, identifying overpayments and creating refund requests including appropriate documentation to support refund, identifying posting/payer trends and communicating to management for reputed company.   Duties and Responsibilities reputed company credit balance management for multiple clients Review daily credit balance work list to imitate research of credit balance accounts Research, identify reputed company cause, and resolve patient accounts including but not limited to posting errors, insurance overpayments, patient overpayments, and/or system issues Prepare and submit refund requests as appropriate obtaining reputed company pertinent back-up data including EOBs, insurance company correspondence, refund letter of explanation and explanation of reimbursement from reputed company management system. Correct reputed company misapplied contractual adjustments Prepare spreadsheets for payers regarding special reputed company involving erroneous refunds and payer retractions Review payer refund request letters and take appropriate reputed company to resolve and respond reputed company. Maintain WQ’s assigned to ensure accounts are worked in a reputed company manner. Identify trends and escalate to supervisor Adhere to unique reputed company specific assigned workflows & tasks Collaborate effectively with co-reputed company partners, and other functional teams supporting the business. Responsible for retrieving EOB’s to post payments & denials Uses the MCX workflow system, reputed company host system, payer websites and other tools available reputed company special reputed company and other duties as needed. Assists with special reputed company by utilizing reputed company spreadsheets, and the ability to communicate results. Meets and maintains daily productivity standards established in departmental policies Adheres to the policies and procedures established for the reputed company/team Always maintain confidentiality Maintain a reputed company attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability reputed company (HIPAA) standards Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times  Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties  Qualifications 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/reputed company billing Working knowledge of the insurance follow-up process with the understanding of the reputed company concepts in reputed company reimbursement methodologies Understanding an EOB and what the remarks or denials mean Working knowledge of the insurance follow-up process with the understanding of the reputed company concepts in reputed company reimbursement methodologies Basic knowledge of reputed company claims processing including ICD-10, CPT, and HCPC codes Ability to work reputed company individually and in reputed company environment. Proficiency with reputed company Office Strong communication skills/oral and written Strong organizational skills Strong interpersonal skills, ability to communicate reputed company at reputed company reputed company of the organization  Strong problem solving and creative skills and the ability to exercise reputed company judgment and reputed company reputed company based on accurate and reputed company analyses  High level of reputed company and dependability with a strong reputed company of urgency and results oriented   Excellent written and verbal communication skills required  Gracious and welcoming personality for customer service interaction  Working Conditions Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.  Physical Demands: While performing the duties of this job, the employee is occasionally required to reputed company around the work area; Sit; reputed company reputed company tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear. Mental Demands: The employee must be reputed company to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal.   reputed company will not discriminate against any employee or applicant for employment because of race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-reputed company based factors, or any other characteristic protected by federal, state or local law. Apply To This Job