Amerita
OverviewThe Credit Balance Categorization Specialist (CBS-II) will be responsible for facilitating the resolution of insurance and patient credit balances. The Credit Balance Categorization Specialist (CBS-II) will also work closely with other staff to identify, resolve, and share information regarding payer trends and provider updates.
Shift: Monday-Friday 7:00am-3:00pm
Responsibilities• Ensures daily goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable, and other departmental goals as outlined
• Adheres to all applicable state and federal regulations and company policies
• Maintains insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds
• Verifies professional billed services for dispensed medication and supplies
• Validates reimbursements and appropriate deductible and cost share amounts to the patient
• Reviews remittance advices, payments, adjustments, insurance contracts and fee schedules, insurance eligibility and verification, and assignment of benefits to determine the correct credit classification
• Coordinates offsets and cash research requests with the cash applications department
• Utilizes approved credit categorization criteria to ensure accurate documentation in CPR+
• Creates patient refund packets and validates receipt of previously submitted payer disputes
• Works within established departmental goals and performance metrics
• Identifies and communicates issues and trends to management
Salary Range USD $19.00 - $21.00 / Hour