Revenue Specialist II, ROPS

About the role

The Credit Balance Specialist plays a crucial role in the Revenue Operations Department, focusing on analyzing EOBs and payor correspondence to reconcile system credit balances and resolve problem accounts.

Responsibilities

• Research, initiate follow-up, and resolve all health care insurance claim accounts with existing credit balances.
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims.
• Use critical and analytical problem-solving skills to resolve issues.
• Utilize strong organizational skills to effectively manage large amounts of detailed information.
• Communicate effectively with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.
• Contribute to the implementation of process improvement initiatives aimed at improving credit department performance.
• Support monthly reporting of outstanding credit balances.
• Stay current on communications relating to healthcare reimbursement and regulatory changes.

Requirements

• A High School Diploma or equivalent.
• 2 years' experience with accounting, transactions, or medical billing systems (optional).
• Experience with healthcare credits and revenue cycle management (optional).
• Computer proficiency in Microsoft Office including Excel and Outlook.

Qualifications

• Highly ambitious, results-driven, and willing to "think outside the box."
• Strong multitasking abilities.
• Strong mathematical and analytical skills.
• Driven to resolve open balances and prevent future rework.

Skills

• Excellent written and oral communication skills.
• Ability to work well as part of a fast-paced team.
• Strong organizational skills.
• Problem-solving skills.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Family resources, EAP counseling sessions, access to Headspace®, backup child and elder care, maternity/paternity leave, and more.
• Professional development programs.

Pay

The wage range for the role is $19.50 - $25.50/hour. Compensation depends on a number of factors, including qualifications, skills, competencies, and experience.

Schedule

This is a hybrid and remote position available.