Medical Billing Specialist - FULLY REMOTE! -Hospital Billing

Job Description

Job Description

The Credit Management Representative handles all aspects of credit balance resolution. This includes reviewing and investigating patient and insurance credits, identifying overpayments, submitting refund requests, and correcting posting or adjustment errors. The role also involves spotting trends and working with other teams to resolve issues. Please email resumes to Stacie@prosearchnetwork.com

Key Responsibilities:

• Manage credit balances for multiple clients
• Review and research accounts to identify the cause of credits or overpayments
• Resolve issues due to posting errors, overpayments, or system problems
• Submit refund requests with appropriate documentation (EOBs, correspondence, etc.)
• Correct incorrect adjustments and posting errors
• Respond to payer refund request letters
• Maintain assigned work queues and ensure timely follow-up
• Identify and escalate recurring issues or payer trends
• Follow client-specific workflows
• Work with other departments and partners as needed
• Retrieve EOBs to process payments and denials
• Use internal systems, payer websites, and other tools
• Assist with special projects and reporting as needed
• Meet daily productivity goals
• Comply with HIPAA and information security policies
• Maintain confidentiality and professionalism at all times

Qualifications:

• 1+ years of experience in credit balance management, insurance collections, or payment posting
• Knowledge of healthcare reimbursement, EOBs, and insurance denials
• 1–3 years of physician/professional billing experience
• Basic understanding of ICD-10, CPT, and HCPC coding
• Proficient in Microsoft Office, especially Excel
• Strong communication, organizational, and teamwork skills