Credit Balance Analyst- Remote
POSITION SUMMARY
Post all payments to the practice management system. Process End of Day. Perform duties, processes and functions assigned by management. . Work is conducted remotely, outside of a traditional office environment. Must be able to perform work at a dedicated work space with limited interruption or distraction, and high speed internet capability with 25 Mbps download speed/10 Mbps upload speed.
ESSENTIAL FUNCTIONS
ā¢ Review credit balance reports for potential refunds to insurance companies and/or patients.
ā¢ Transfer patient overpayment to existing patient balance if appropriate.
ā¢ Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund
requests for charges with missing documentation.
ā¢ Monitor and work unresolved accounts and submit all refund requests for approval.
ā¢ Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely
manner.
ā¢ Report to the office location, as needed.
ā¢ Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office.
GENERAL COMPENTENCIES DESIRED
ā¢ Self-motivated, with the ability to work independently, with minimal supervision.
ā¢ Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements.
ā¢ Familiarity with Medicare, Medicaid, HMO and commercial guidelines.
ā¢ Ability to maintain confidentiality of patient and personnel information.
ā¢ Detail-oriented paying close attention to accuracy.
ā¢ Strong interpersonal skills.
ā¢ Ability to be comfortable in learning and using digital tools.
ā¢ Strong PC skills required to include all Microsoft applications, practice management systems and electronic health
records.
ā¢ Good problem solving skills required in order to maximize effectiveness and efficiency of job duties.
PHYSICAL DEMANDS
Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a
keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye
sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or
irregular hours to meet deadlines.
CREDENTIALS DESIRED
Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business
office.
HOURS: Monday-Friday
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
Job Type: Full-time
Work Location: Remote
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Post all payments to the practice management system. Process End of Day. Perform duties, processes and functions assigned by management. . Work is conducted remotely, outside of a traditional office environment. Must be able to perform work at a dedicated work space with limited interruption or distraction, and high speed internet capability with 25 Mbps download speed/10 Mbps upload speed.
ESSENTIAL FUNCTIONS
ā¢ Review credit balance reports for potential refunds to insurance companies and/or patients.
ā¢ Transfer patient overpayment to existing patient balance if appropriate.
ā¢ Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund
requests for charges with missing documentation.
ā¢ Monitor and work unresolved accounts and submit all refund requests for approval.
ā¢ Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely
manner.
ā¢ Report to the office location, as needed.
ā¢ Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office.
GENERAL COMPENTENCIES DESIRED
ā¢ Self-motivated, with the ability to work independently, with minimal supervision.
ā¢ Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements.
ā¢ Familiarity with Medicare, Medicaid, HMO and commercial guidelines.
ā¢ Ability to maintain confidentiality of patient and personnel information.
ā¢ Detail-oriented paying close attention to accuracy.
ā¢ Strong interpersonal skills.
ā¢ Ability to be comfortable in learning and using digital tools.
ā¢ Strong PC skills required to include all Microsoft applications, practice management systems and electronic health
records.
ā¢ Good problem solving skills required in order to maximize effectiveness and efficiency of job duties.
PHYSICAL DEMANDS
Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a
keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye
sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or
irregular hours to meet deadlines.
CREDENTIALS DESIRED
Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business
office.
HOURS: Monday-Friday
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
Job Type: Full-time
Work Location: Remote
Apply tot his job
Apply To this Job