Insurance Credit Resolution Specialist

Job Summary

A company is looking for an Insurance Credit Resolution Specialist.

Key Responsibilities

• Identify and review patient accounts for insurance overpayments and ensure compliance with payer guidelines
• Process refunds for insurance companies and maintain accurate documentation of all transactions
• Resolve outstanding credits and discrepancies by collaborating with insurance companies, patients, and internal teams

Required Qualifications

• High School Graduate, Medical Office training certificate, or relevant experience
• 5+ years of experience in physician revenue cycle or claims management
• Background in posting charges, claim follow-up, collections, and payment posting
• Experience with AthenaHealth and/or AthenaOne is a plus
• Must comply with HIPAA rules and regulations