Credit Balance Analyst- Remote

Job Description

Job Description

POSITION SUMMARY

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.

ESSENTIAL FUNCTIONS

· 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.

GENERAL COMPENTENCIES DESIRED

· 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.

PHYSICAL DEMANDS

Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a

keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye

sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or

irregular hours to meet deadlines.

CREDENTIALS DESIRED

Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business

office.

HOURS: Monday-Friday

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.