Sr. Revenue Cycle Specialist: Credit Balances

Job Title: Sr. Revenue Cycle Specialist: Credit Balances

Duration: 7 Months plus extendable role

Location: Federal Way, WA/Hybrid and remote position available. All necessary equipment is provided.

# of Positions: 14

Need additional resumes with refund and overpayment remediation experience.

Education:

High School Diploma or equivalent required

Duties:

This position requires a high level of attention to detail and the ability to work well as part of a fast paced team. The ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by resolving open balances with the goal to prevent future rework. In this position, you will analyze EOBs and/ or payor correspondence to reconcile system credit balances or potential overpayments, research and resolve problem accounts, and request adjustments. You will effectively identify trends and analyze root causes to drive work efficiently within the team.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refunds, retractions, and/or adjustments to claims

Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims

Use critical and analytical problem solving skills to resolve issues

Uses strong organizational skills to effectively manage large amounts of detailed information

Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.

Contributes to implementation of process improvement initiatives aimed at improving credit department

Supports monthly reporting of outstanding credit balances

Skills: Qualifications:

5+ years' experience with accounting, transactions or medical billing systems a plus

Health care and medical billing/collections/overpayment remediation or experience is preferred

Knowledge or experience working with a variety of health care insurance payers is preferred

Intermediate computer proficiency in Microsoft Office including Excel and Outlook