Credit Balance Analyst- Remote at Orthopaedic Solutions Management in Atlanta, GA

Job description

• 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.

Responsibilities

• · Review credit balance reports for potential refunds to insurance companies and/or patients.
• · Transfer patient overpayment to existing patient balance if appropriate.
• · Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund
• requests for charges with missing documentation.
• · Monitor and work unresolved accounts and submit all refund requests for approval.
• · Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely
• manner.
• · Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office.

Requirements

• Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business
• office.
• · Self-motivated, with the ability to work independently, with minimal supervision.
• · Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements.
• · Familiarity with Medicare, Medicaid, HMO and commercial guidelines.
• · Ability to maintain confidentiality of patient and personnel information.
• · Detail-oriented paying close attention to accuracy.
• · Strong interpersonal skills.
• · Ability to be comfortable in learning and using digital tools.
• · Strong PC skills required to include all Microsoft applications, practice management systems and electronic health
• records.
• · Good problem solving skills required in order to maximize effectiveness and efficiency of job duties.

Skills

Preferred

• Strong interpersonal skills.