Hiring a Remote Credit Balancing Specialist!
Schedule : M-F 8 hour day shift
Pay Range : Between $18-$20 / hr
Day to day :
- Research, initiate follow-up and resolve all Medicare Advantage insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to calling the payer, initiating refunds, retractions, and adjustments to claims or addressing correspondence.
- Obtain and keep up to date on payor portal system access and payor contacts; Navigate through various payer systems, call lines, or portals for claim research
- Navigate through multiple internal accounting applications and queues to ensure timely and accurate resolution of assigned claims (30+ accounts daily)
- Consistently meet team expectations for production and quality
- 30+ accounts daily production
- 95%+ quality and accuracy of actions
- Use critical thinking and problem-solving skills to resolve account issues autonomously
Must Have Skills / Qualifications :
Advanced computer proficiency for troubleshooting, Microsoft Office including Excel, PowerPoint, Word, and Outlook (required)Healthcare and medical insurance claim overpayment remediation or experience1+ years’ experience with accounting, transactions or medical billing / accounting systemsKnowledge or experience working with Medicare Advantage insurance payers (strongly preferred)Quality WFH setup, free of distractions.Benefits :
In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period)
Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
Prescription Programs
Short Term Disability Insurance
Term Life Insurance Plan