
Credit Balance Specialist
- Phoenix, AZ
- Permanent
- Full-time
- 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
- 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
- Ability to maintain the