Credit Balance and Refund Specialist
Company: Change Healthcare
Posted on: May 6, 2021
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
- Thoroughly reviewing accounts with credit balances from our
credit balance reports or refund requests from insurance, patients
- Sending insurance companies retraction requests and notices as
well as gathering data for physical refunds requests to be sent to
- May include making phone calls to insurance companies for
further information we need regarding an account
- Also includes debit or credit adjustments on accounts of other
kinds outside of actual refunds.
- Includes processing refunds via credit cards and printing
- Sending reports to collection agencies if accounts in
collections received payment.
- This might also require follow up work if request was not
- 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
email@example.com "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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