Credits Rep I

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
 

As our Credits Rep I, you'd be responsible for evaluating credit balances on patient accounts and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner. 
 
Here is what you'll experience as our Credits Rep I: 

• Resolve Credit Balances

• Receive credit balance report provided by regional management. 

• Receive client requests. 

• Receive Insurance Requests. 

• Receive Medicare Requests. These must be completed within 45 days to avoid offsets. 

• Retrieve imaged EOBs. 

• Review payments and EOBs to determine who is due the refund. 

• Process Refunds (Medicare, Medicaid Voids, Insurance). 

• Clear the general account balances. 

• Process account transfers for multiple patient accounts. Where applicable create payment transfer documentation 

• Communicate with clients to resolve refund issues as needed and inquiries at the discretion of regional management. 

• Complete various projects as assigned by management. 

• Assist with other team member processing areas as directed by management. 

• Communicate trends and opportunities for improvement to regional management. 

• Other duties as assigned 

 
Requirements: 

• High School Diploma or equivalent required 

• Medical Billing experience preferred. 

• Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards 

• Knowledge of insurance carrier payment policies, practices, and amounts. 

• Logical and efficient, with keen attention to detail. 

• Highly self-motivated and directed. 

• Ability to effectively prioritize and execute tasks while under pressure. 

• Excellent listening, interpersonal, written, and oral communication skills. 

• Knowledge of insurance carrier policies and practices. 

• Experience working in a team-oriented, collaborative environment. 

• Knowledge of applicable data privacy practices and laws. 

• Able to manage multiple concurrent tasks 

• Flexibility to handle unexpected daily challenges 

• Very strong written and verbal communication skills