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Credit Balance Specialist

Dallas, TX

Posted: 10/23/2024 Employment Type: Contract Industry: Healthcare Job Number: 15166 Pay Rate: $23.25

Job Description

The Credit Balance Specialist is an ASAP start role within a 3 - 6 month opportunity (with extension) located ONSITE in Dallas, near Farmer's Branch/Lewisville area, seeking a diligent health insurance & Medical Billing professional to join and provide their skills in medical insurance, AR, credit, remittances, EOB knowledge, and Medicare & Medicaid insurance guidelines.

SHIFT: Mon to Fri, 8a-5p (1 hr lunch) | Full-time, 40 hours/week guaranteed 

PAYRANGE: $23.25/hr - $24.75/hr | Based on Experience - the more you have, the better! 

Credit Balance Specialist roles:
  • Ability to Key charges, post payments, call insurance companies to obtain status/eligibility (i.E. Medicare and Novitas)
  • Knowledge of EOBs.
  • Understands what a credit is, how to review it, understand general steps to dispute credit
  • Has a complete detailed account credit review, knows how to determine who is due the refund and executed refund(s) to the proper recipient.
  • Proficiency to read & analyzing remittances
  • Basic knowledge of accounting or account reconciliation
  • Modifiers, Global Periods and Medical Necessity guidelines.
  • Insurance guidelines - especially Medicare and Medicaid.
  • Medical billing software technology
  • HIPAA regulations
  • Knowledge of medical terminology, abbreviations
  • Payor website portal experience
  • Strong problem-solving, communication, listening, analytical, organizational skills
  • Self-starter & positive attitude
  • Knowledge of medical and insurance terminology
  • Strong mathematical aptitude
  • Strong organizational and time management skills.
  • Works under the general supervision of the Payment Accounts Supervisor (no Supervisory roles)
REQUIRED QUALIFICATIONS / EXPERIENCE NEEDED:
  1. Experience with health insurance billing software applications / web-based systems.
  2. Intermediate skills in Microsoft Office (Word, Excel, Outlook) - manage email inbox
  3. At LEAST 2+ years of experience in a medical/healthcare environment: Claims, billing, & posting payments preferred
  4. At least 2+ years working in a medical billing environment -
    1. Understanding of AR, best practices to collect patient accounts.
  5. Ability to Key charges, post payments, call insurance companies to obtain status/eligibility (i.E. Medicare and Novitas)
  6. Knowledge of EOBs.
  7. Understands what a credit is, how to review it, understand general steps to dispute credit
  8. Has a complete detailed account credit review, knows how to determine who is due the refund and executed refund(s) to the proper recipient.
  9. Proficiency to read & analyzing remittances
  10. Basic knowledge of accounting or account reconciliation
  11. Modifiers, Global Periods and Medical Necessity guidelines.
  12. Insurance guidelines - especially Medicare and Medicaid.
  13. Medical billing software technology
  14. HIPAA regulations
  15. Knowledge of medical terminology, abbreviations
  16. Payor website portal experience
  17. The ability to organize and effectively work on multiple projects at one time
  18. Excellent written and oral communication skills.
  19. Impeccable professional reputation with high degree of energy, integrity, and positive spirit.
  20. Experience supporting multi-site facilities
------------------ ** HOW TO APPLY **------------------
1. If you are an experienced Credit Balance/payment poster specialist, APPLY NOW - then
2. Call Leah @ 214-730-5175 to provide interview availability & be reached out with more info ASAP

BENEFITS (begin immediately upon hire):
  • Medical
  • Dental
  • Vision
  • HSA
  • Supplemental Insurance (no-cost)
  • $100 Referral Bonus

Job Requirements

Healthcare, medical insurance, RCM, Medical Billing, credit balance

Additional Information

Dental, Medical, Vision, Life, HSA, Supplemental Insurance (no-cost)

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