Credit Balance Specialist

Credit Balance Specialist

ON-SITE

Camp Hill, PA

Responsible for facilitating the resolution of insurance and patient credit balances and issuing refunds and/or redeterminations as appropriate.

We offer an exceptional employee experience, full-time hours, full benefits, paid training, and advancement opportunities. Our team offers flexible, first shift, Monday through Friday schedules. This would include two fifteen minute breaks and one half-hour lunch. We allow for casual work attire, jeans are our norm!

• Responsible for timely and accurate review and resolution of credit balance accounts, including any refund requests or recoup/offset notifications.
• Completes due diligence on all refund requests to ensure that the request is valid and accurate in terms of payer contracts, insurance processes, coordination of benefits, claims processing and state and federal statutes regarding overpayment regulations.
• Processes adjustments for accounts with credit balances that have occurred due to posting corrections, write-off’s and rate changes.
• Prepares refund packets with all supporting documentation and required forms.
• Maintains a productivity of 15 accounts per day. This is subject to change based on volume changes and operational needs.
• Make outgoing calls to patients, insurance companies and attorneys regarding refund requests to ensure timely resolution of credit balances.
• Notify database operations of changes or additions to specific payor, plan, contract, address, or other pertinent information as necessary.
• Meet the expectations for quality and cash targets as set forth by management.
• Supports the mission/core values and direction of Select Medical both within the CBO and throughout the organization.
• Performs other duties or special projects as assigned.

• Good interpersonal, oral and written communication skills.
• Excellent problem solving skills.
• Good organizational skills.
• Ability to work independently with minimal instruction or supervision
• Knowledge of insurance practices, contracts and managed care preferred.
• Required to be proficient in Windows based office technologies (ex. Word, Excel, Outlook).
• Ability to walk, stand, bend and reach consistently throughout a work day/shift.
• Appropriate manual dexterity to enable typing (including10-key) throughout a work day/shift.
• Ability to lift up to 25lbs, safely, from ground to waist using proper body mechanics.
• Ability to carry office supplies up to 10lbs.
• High School diploma or GED required.
• One to two years of computer, accounting, collections, and high volume medical billing and/or insurance claims processing experience preferred.

Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

• An extensive and thorough paid orientation program.
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
• A 401(k) retirement plan with company match.
• No Required Weekends

Equal Opportunity Employer/including Disabled/Veterans