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　　Job # 24028 Credit Balance Specialist

　　Acclivity Healthcare - Your personal, proven partner!

　　Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.

　　Compensation and Schedule for the Credit Balance Specialist

　　Credit Balance Specialist – Full-time, work-from-home after training, $22-$25 per hour, Monday – Friday, flexible start time between 6:00am and 8:00am after training. Great benefits at a hospital with a strong reputation!

　　Required Qualifications of the Credit Balance Specialist

　　2+ years of recent credit balance experience required

　　High school diploma or GED required

　　Must successfully pass a criminal background check and drug screen

　　Responsibilities of the Credit Balance Specialist

　　Research insurance and patient credit balances to ensure balance is accurate

　　Monitor payor performance, identify trends, and review with Management

　　Initiate refunds/recoups within payor and corporate guidelines to ensure compliance measures are maintained

　　Research and coordinate all actions needed to resolve the outstanding credit balance

　　Read and interpret explanation of benefits (EOB) and demonstrate knowledge of a wide range of policies and procedures for the area

　　Contact insurance companies when they are not compliant with contract terms to resolve issues/problems as they arise related to overpayments

　　Research all refund requests from insurance companies

　　Prepare refund packets for all insurance company requests

　　Pull necessary payor EOBs and supporting data and mails to insurance companies in a timely manner, or as designated by the payor

　　About the Company

　　This well-known and successful healthcare system has remained a symbol of quality for over 25 years. They are the 5th largest healthcare system in the nation, with more than 60,000 caregivers and staff who deliver excellent care to diverse communities in 21 states. They have won numerous awards as a top healthcare employer because of the great work environment and commitment to their employees’ growth and success. They have an immediate need for a professional and detail-oriented Credit Balance Specialist to join their team!

　　Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability