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Credit Balance Specialist at Acurus Solutions Private Limited
Chennai, tamil nadu, India -
Full Time

Start Date

Immediate

Expiry Date

23 Feb, 26

Salary

0.0

Posted On

25 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Credit Balance Resolution, Medical Billing Cycle, Healthcare Terminology, ICD Codes, CPT Codes, Medical Billing Software, Communication Skills, Refund Processing, Regulatory Compliance, Audit Reporting, Collaboration, Discrepancy Resolution, Insurance Coordination, Transaction Documentation, Accuracy, Timeliness

Industry

Consumer Services

Description
Summary The Credit Balance Specialist will act as the pivotal point in managing credit balances on Insurance and patient accounts, ensuring strict adherence to California state regulations, and fine-tuning the reimbursement processes in a multispecialty healthcare context. What you'll do Credit Balance Resolution: Analyze and resolve credit balances on patient accounts, ensuring accuracy and timeliness. Coordinate and process voluntary and involuntary refund requests efficiently, maintaining high levels of accuracy. Handle refund requests adeptly, processing them through federal payor portals as per the stipulated guidelines. Engage proactively with insurance companies through calls to determine the true refund amounts and ensure that correct balances are maintained. Document all transactions meticulously, generating detailed reports for audit purposes and regulatory compliance. Collaborative Communication: Foster collaborative relationships with our US Operations team and inhouse teams to rectify discrepancies and sustain precise account balances. Excellent communication skills. What you have Any Degree A brief understanding on the entire Medical Billing Cycle. Minimum 3+ years of work experience Nice-to-haves Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus Use of medical billing software will be considered an advantage
Responsibilities
The Credit Balance Specialist will manage credit balances on insurance and patient accounts, ensuring compliance with California state regulations. This role involves analyzing and resolving credit balances, processing refund requests, and documenting transactions for audit purposes.