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Credit Balancing Specialist - 247288
Credit Balancing Specialist - 247288Medix • United States
Credit Balancing Specialist - 247288

Credit Balancing Specialist - 247288

Medix • United States
4 days ago
Job type
  • Full-time
Job description

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 experience
  • 1+ years’ experience with accounting, transactions or medical billing / accounting systems
  • Knowledge 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

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    Credit Specialist • United States

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