The Credit Balance Specialist will act as the pivotal point in managing credit balances on Insurance and patient accounts, ensuring strict adherence to California state regulations, and fine-tuning the reimbursement processes in a multispecialty healthcare context.
What you'll do •
* Credit Balance Resolution:
• Analyze and resolve credit balances on patient accounts, ensuring accuracy and timeliness.
• Coordinate and process voluntary and involuntary refund requests efficiently, maintaining high levels of accuracy
. • Handle refund requests adeptly, processing them through federal payor portals as per the stipulated guidelines.
• Engage proactively with insurance companies through calls to determine the true refund amounts and ensure that correct balances are maintained.
• Document all transactions meticulously,
generating detailed reports for audit purposes and regulatory compliance.
• Collaborative Communication:
• Foster cooperative relationships with our US Operations team and inhouse teams to rectify discrepancies and sustain precise account balances.
• Excellent communication skills.
What you have
• Any Degree
• A brief understanding on the entire Medical Billing Cycle.
• Minimum 3+ years of work experience Nice-to-haves
• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
• Use of medical billing software will be considered an advantage
📌 Credit Balance (Chennai)
🏢 Omega
📍 Chennai