Insurance Credit Resolution Specialist
Job Summary
Working in a hybrid capacity, the full-time Insurance Credit Resolution Specialist will manage the timely processing of insurance-related credits, including reviewing overpayments, reconciling account balances, and preparing refund requests while ensuring compliance with healthcare regulations.
Key responsibilities
- Identify and review patient accounts with insurance overpayments, ensuring accuracy and compliance
- Reconcile account balances by applying, transferring, or refunding credits as necessary
- Analyze explanation of benefits (EOBs) and insurance payments to verify credits and resolve discrepancies
Required qualifications
- High School Graduate, Medical Office training certificate, or relevant experience
- 3+ years of experience in physician revenue cycle or claims management
- Background in posting charges, claim follow-up, collections, and payment posting
- AthenaOne EMR experience preferred
- Must comply with HIPAA rules and regulations
Complete Job Description
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