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Credit Balance and Refund Specialist

Company: Change Healthcare
Location: Milwaukee
Posted on: May 6, 2021

Job Description:

Transforming the future of healthcare isnt something we take lightly. It takes teams of the best and the brightest, working together to make an impact.As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.Here at Change Healthcare, were using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.If youre ready to embrace your passion and do what you love with a company thats committed to supporting your future, then you belong at Change Healthcare.Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.Empower Your Future. Make a Difference.Title: Credit Balance and Refund Specialist Overview of PositionFollow up of outstanding A/R all payers and/or including self pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.What will be my duties and responsibilities in this job?

  • Thoroughly reviewing accounts with credit balances from our credit balance reports or refund requests from insurance, patients and clients.
  • Sending insurance companies retraction requests and notices as well as gathering data for physical refunds requests to be sent to our clients.
  • May include making phone calls to insurance companies for further information we need regarding an account reimbursement.
  • Also includes debit or credit adjustments on accounts of other kinds outside of actual refunds.
  • Includes processing refunds via credit cards and printing physical checks.
  • Sending reports to collection agencies if accounts in collections received payment.
  • This might also require follow up work if request was not resolved timely.
  • Other duties may apply.
  • Normally receives detailed instructions on all work.
  • Requires basic reading, writing, addition and subtraction skills.What are the requirements needed for this position?
    • 1+ years of work experience
    • Credit Balance and Refund experience a Plus
    • High School Diploma or equivalent work experienceWhat other skills/experience would be helpful to have?
      • Medical Billing experience
      • Good understanding of the A/R process.
      • Strong math/accounting acumen
      • Capable of meeting daily deadlines with little supervision.What are the working conditions and physical requirements of this job?
        • Office Environment
        • Physical requirements include general office demandsHow much should I expect to travel?Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at .If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.comwith "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here to view our pay transparency nondiscrimination policy.Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Keywords: Change Healthcare, Milwaukee , Credit Balance and Refund Specialist, Other , Milwaukee, Wisconsin

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