Our CompanyAmerita OverviewThe Credit Balance Specialist I is responsible for facilitating the resolution of insurance and patient credit balances by payer notification letters, phone communication, refunds, offsets, or revenue adjustments in accordance with applicable state/federal regulations and company policies. The Credit Balance Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. Above all, qualified candidates should possess exceptional internal and external customer service skills and actively promote Amerita's company culture. Responsibilities
Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals
Understands and adheres to all applicable state/federal regulations and company policies.
Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds
Reviews credit balance adjustments. Submits payer notification letters and contacts payers in accordance with Amerita’s payer notification process.
Conducts appropriate review to accurately transfer payments in accordance with established processes
Initiates and coordinates offsets and cash research requests with the cash applications department
Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR
Creates patient refund packets and validates receipt of previously submitted payer disputes
Works within established departmental goals and performance/productivity metrics
Identifies and communicates issues and trends to management
Qualifications
High School diploma/GED or equivalent required; some college a plus
A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement
Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus.
Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology
Solid Microsoft Office skills with the ability to type 40+ WPM
Strong verbal and written communication skills with the ability to independently obtain and interpret information
Strong attention to detail and ability to be flexible and adapt to workflow volumes
Knowledge of federal and state regulations as it pertains to revenue cycle management a plus
Flexible schedule with the ability to work evenings, weekends, and holidays as needed
About our Line of BusinessAmerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .Salary RangeUSD $18.00 - $20.00 / HourNeed help finding the right job?We can recommend jobs specifically for you!ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-CO-ENGLEWOODID 2024-137140 Line of Business Amerita Position Type Full-Time Pay Min USD $18.00/Hr. Pay Max USD $20.00/Hr.
Full-time