Job Description

Job Purpose

The Credit Management Representative is responsible for all elements of Credit Balance Management which include but is not limited to: Triaging patient and insurance credit balance to determine root cause, correcting contractual/manual adjustments, identifying overpayments and creating refund requests including appropriate documentation to support refund, identifying posting/payer trends and communicating to management for resolution.

Duties And Responsibilities

  • Perform credit balance management for multiple clients
  • Review daily credit balance work list to imitate research of credit balance accounts
  • Research, identify root cause, and resolve patient accounts including but not limited to posting errors, insurance overpayments, patient overpayments, and/or system issues
  • Prepare and submit refund requests as appropriate obtaining all pertinent back-up data including EOBs, insurance com...

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