Credit Balance Coordinator - RCM

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The Credit Balance Coordinator assists the AR Manager/Director, Supervisor and AR Team by managing Credit Balances within AR. Credit Balance Coordinator assists in the management of top credit accounts by payer/patient. Prioritize correspondence received from payers to resolve open AR issues and drive total credit balances downward. The Credit Balance Coordinator position will ensure all processes are in accordance with the laws and regulations set forth by the industry entities responsible for home health billing and collections.

Role and Responsibilities:
· Proactively resolve credit balances by seeking out and identifying payer trends
· Performing root cause analysis regarding trends in overpayments
· Review all mail correspondence received from individual payers regarding overpayments
· Research each credit balance to determine refund, cash posting error, or correct payment
· Perform adjustments to accounts when applicable
· Utilize payor websites and provider contacts when needed to resolve issues
· Notify management of any payer trends resulting in credit balances.
· Responsible for creating refund request, printing supporting documentation, and tracking status of each refund check before sending to correct payer.
· Identify issues contributing to payer credit balances, and work collaboratively with all areas of RCM to improve efficiency and eliminate these issues.
· Other duties or task as assigned by management.

Competencies


Strong written/verbal communication skills
Analytical/Critical thinker
Intuitive problem solving
Detail oriented, highly organized and personable
Experience with complex billing, claims processing and reimbursement issues
Team orientated
Ability to learn and grasp new systems and processes quickly
5-10 years of progressive of Revenue Cycle experience in a home health, physician’s office or hospital setting

Education/Credentials:
· College Preferred
· Extensive Knowledge of Managed Care/Insurance payer Contracting

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.