1+ years hospital billing experience (preferred) OR physician billing experience
Insurance Payor Audit Experience or credit/refund experience in a hospital setting
Familiar with payor contract interpretation/contract language
Analytical mindset
Strong with Excel - use it daily
DAY TO DAY:
The Insurance Credit Balance/Refund Specialist is responsible for credit/refund experience on the hospital billing side. They are working on contracts to see if accounts are truly credits or not and performing contract interpretation/contract language or payor audits. Seeking someone who is analytical and has exposure to credit/refund rep. them in now 6-9 month contract to hire. for the follow up on all hospital and/or professional insurance claims. In this role you will learn and grow to have advanced knowledge of all payer and claim types and the ability to prioritize work flow to meet insurance company filing deadlines for claim submission, claim reconsiderations and appeals and achieve targeted receivables on a monthly basis. You will be onsite 3 days a week as an Insurance Follow Up Rep working standard business hours.