Credit Balance Specialist
American Vision Partners, Phoenix, AZ, United States
Credit Balance Specialist
As a Credit Balance Specialist, you'll accurately review account credit balances to determine appropriate steps to resolve. You'll also review payment postings, adjustments, and charges to appropriately issue refunds.
Responsibilities
Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund
Responsibilities will include accurately posting payments, adjustments and refunds as necessary
Reviews transactions (payments and adjustments) from various sources on a daily basis. Payments sources include Electronic Remittances, paper checks and EOB's, patients, collection agency, capitation plans, Care Credit and Patient Portal
Adheres closely to the department's payment reconciliation process
Prioritizes work to maximize turn-around time
Meets or exceeds productivity standards in the completion of daily assignments and accurate production
Maintain an error rate in accordance with departmental policy
Makes changes to demographic information as necessary in order to produce a clean patient statement
Answer and respond to external and internal phone calls in a timely manner
Check and respond to emails in a timely and professional manner
Performs all other assigned duties
Qualifications
High School diploma or equivalent
3+ years medical billing experience
Ophthalmology background desired
Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
Demonstrates computer literacy
Well-organized with attention to detail
Ability to read and understand oral and written instructions
Excellent math skills
Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
Professional customer service skills
Has a desire and dedication to work with self-discipline
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
As a Credit Balance Specialist, you'll accurately review account credit balances to determine appropriate steps to resolve. You'll also review payment postings, adjustments, and charges to appropriately issue refunds.
Responsibilities
Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund
Responsibilities will include accurately posting payments, adjustments and refunds as necessary
Reviews transactions (payments and adjustments) from various sources on a daily basis. Payments sources include Electronic Remittances, paper checks and EOB's, patients, collection agency, capitation plans, Care Credit and Patient Portal
Adheres closely to the department's payment reconciliation process
Prioritizes work to maximize turn-around time
Meets or exceeds productivity standards in the completion of daily assignments and accurate production
Maintain an error rate in accordance with departmental policy
Makes changes to demographic information as necessary in order to produce a clean patient statement
Answer and respond to external and internal phone calls in a timely manner
Check and respond to emails in a timely and professional manner
Performs all other assigned duties
Qualifications
High School diploma or equivalent
3+ years medical billing experience
Ophthalmology background desired
Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
Demonstrates computer literacy
Well-organized with attention to detail
Ability to read and understand oral and written instructions
Excellent math skills
Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
Professional customer service skills
Has a desire and dedication to work with self-discipline
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!