Credit Balance Analyst- Remote

POSITION SUMMARY

Post all payments to the practice management system. Process End of Day. Perform duties, processes and functions assigned by management Work is conducted remotely, outside of a traditional office environment. Must be able to perform work at a dedicated work space with limited interruption or distraction, and high speed internet capability with 25 Mbps download speed/10 Mbps upload speed.

ESSENTIAL FUNCTIONS

Review credit balance reports for potential refunds to insurance companies and/or patients.

Transfer patient overpayment to existing patient balance if appropriate.

Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund

requests for charges with missing documentation.

Monitor and work unresolved accounts and submit all refund requests for approval.

Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely

manner.

Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office.

GENERAL COMPENTENCIES DESIRED

Self-motivated, with the ability to work independently, with minimal supervision.

Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements.

Familiarity with Medicare, Medicaid, HMO and commercial guidelines.

Ability to maintain confidentiality of patient and personnel information.

Detail-oriented paying close attention to accuracy.

Strong interpersonal skills.

Ability to be comfortable in learning and using digital tools.

Strong PC skills required to include all Microsoft applications, practice management systems and electronic health

records.

Good problem solving skills required in order to maximize effectiveness and efficiency of job duties.

PHYSICAL DEMANDS

Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a

keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye

sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or

irregular hours to meet deadlines.

CREDENTIALS DESIRED

Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business

office.

HOURS: Monday-Friday

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.