Medical Credit Clerk

Medical Credit Clerk

We are looking for a detail-oriented medical credit clerk to join our team in Federal Way, Washington. In this long-term contract role, you will be responsible for analyzing and resolving credit balances related to insurance payments, ensuring accurate claim adjustments, and collaborating with various teams to address discrepancies. This position offers a structured training program and the opportunity to work remotely after completing the training period.

Responsibilities :

Analyze credit balances caused by overpayments from insurance providers and determine appropriate actions.

Investigate claims to validate discrepancies and decide whether refunds or adjustments are needed.

Conduct root cause analysis to identify and resolve payment inconsistencies.

Utilize payer portals and insurance documentation to research and process payment retractions.

Communicate with insurance companies to confirm claim details and initiate necessary corrections.

Work with electronic remittance advice (ERAs) and other insurance-related forms to ensure accurate processing.

Coordinate with internal departments to resolve credit balance issues promptly and accurately.

Participate in a structured training program that includes both classroom and hands-on components.

Use company-provided equipment to perform job responsibilities remotely after training completion.

Requirements : Prior experience in healthcare or familiarity with revenue cycle operations is highly preferred.

Strong critical thinking and analytical skills to identify root causes of payment discrepancies.

Excellent communication abilities, both written and verbal, to interact with insurance providers and internal teams.

Proven problem-solving skills and adaptability in a dynamic work environment.

Self-motivated with a demonstrated ability to take initiative and exceed expectations.

Stable work history with minimal job-hopping, showcasing reliability and commitment.

Knowledge of insurance claims, payer portals, and remittance processes is a plus.