Credit Balance Resolution Specialist 3071298 I.Html

Resolving complex credit balance accounts in a high-volume, metrics-oriented environment, the full-time remote Credit Balance Resolution Specialist will analyze patient accounts, identify root causes of credit balances, and coordinate with various departments to ensure accurate resolution and prevent inappropriate refunds.

##### Key responsibilities

Analyze patient accounts with credit balances and validate overpayment accuracy

Identify root causes of credit balances, including posting errors and contract variances

Communicate professionally with insurance companies and internal departments regarding credit balance inquiries

##### Required qualifications

High School Diploma or GED

4-7 years of hospital and/or physician accounts receivable experience with credit balance resolution responsibilities

Experience with facility (UB-04) and professional (CMS-1500) credit balance resolution preferred

CRCR (Certified Revenue Cycle Representative) or equivalent certification preferred

Strong analytical skills to interpret EOBs, remittances, and payment documentation