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Credit Balance Resolution Specialist (Refunds/Overpayments) | Contract - Dallas, TX

RPC Company
🇺🇸 United States
Remote
Mid level
1 month ago
$25 / hour
  • medical billing
  • Excel
  • Outlook
  • medical terminology
  • HIPAA
  • Health insurance
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Credit Balance Resolution Specialist | Dallas, TX (1 year contract)
Award-winning healthcare organization seeking an experienced Credit Balance Specialist in Medicare healthcare insurance/refunds of at least 2 years, to monitor credits, assist with overpayments on claims and insurance refunds, utilizing knowledge of government insurance, AR, credit, remittances, EOBs, and Medicare & Medicaid insurance guidelines.

SHIFT: M to F 8-5 | Starts in 1-2 weeks with immediate benefits

Remote after 2 weeks of onsite training in Dallas *REQUIRED TO BE LOCAL TO DALLAS, TX*

PAY: $22.72/hr - $24.45/hr based on experience

REQUIRED EXPERIENCE:

  • Minimum of 2 years in a medical billing environment working with claims, billing, & payment posting
  • Health insurance billing software applications / web-based systems.
  • Intermediate Microsoft Office (Word, Excel, Outlook) skills to manage email inbox
  • Strong understanding off A/R, collection best practices
  • Ability to Key charges, post payments, obtain eligibility via Medicare/Novitas
  • Knowledge of EOBs
  • Complete detailed account credit review, knows how to determine who is due the refund and executed refund to proper recipient.
  • Proficiency to read & analyzing remittances.
  • Basic knowledge of accounting or account reconciliation.
  • Modifiers, Global Periods and Medical Necessity guidelines.
  • Insurance guidelines - especially Medicare and Medicaid
  • Payor website portal experience, Medical Billing software
  • Excellent written and oral communication skills.
  • Impeccable professionalism, high degree of accuracy and integrity
  • Ability to work from home (good internet, quiet environment).

Job Summary

  • Ability to Key charges, post payments, call insurance companies to obtain status and eligibility (i.e. Medicare, Novitas)
  • Knowledge of EOBs
  • Understands credits, overpayments, how to review credits, and steps to dispute
  • Complete detailed account credit review, determines who is due the refund and executing refunds to the proper recipient.
  • Read and analyze remittances.
  • Perform Account reconciliation.
  • Working knowledge of Modifiers, Global Periods, Medical Necessity guidelines
  • Insurance guidelines, especially Medicare and Medicaid.
  • Medical billing software technology
  • Knowledge of medical terminology, abbreviations
  • Payor website portal experience, HIPAA
  • Strong problem-solving, communication, listening, analytical, organizational skills
  • Self-starter & positive attitude
  • Knowledge of medical and insurance terminology
  • Strong organizational and time management skills.

----------- * HOW TO APPLY * ------------
1. If you are a Credit Balance Specialist of 2+ years in healthcare insurance APPLY NOW with updated resume - Then:
2. Call Leah @ 214-730-5175, provide your availability to be reached out to ASAP

BENEFITS (immediate):

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Supplemental insurance (no-cost)
  • Health Savings Account (HSA)
  • FSA
  • Paid Time off
  • Referral Program
  • Paid weekly, on Fridays
  • Laptop & equipment provided post-onsite training

Experience:

  • Medical billing: 2 years (Required)
  • Credit analysis: 2 years (Required)
  • Medicare: 2 years (Required)
  • Novitas: 1 year (Preferred)
  • EOB: 2 years (Preferred)
  • Accounts receivable: 2 years (Required)

Ability to commute to Dallas, TX 75234 for ONSITE training (required)

Credit Balance Resolution Specialist (Refunds/Overpayments) | Contract - Dallas, TX · RPC Company

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