Credit Balance/Refund Resolution Specialist

ClearChoiceMD Urgent Care, an Emergence Health Holdings organization, is building a team of professionals dedicated to meeting all the needs of the community, from infant to elders, school to industry and everywhere in between. ClearChoiceMD is a patient focused organization with a strong emphasis on teamwork. Founded by physicians who know and understand the need for excellent, expedient care.

Reporting to the Director of Revenue Cycle, the Credit Balance/Refund Resolution Specialist focuses on resolving credit balance issues. This position reviews data to determine the corrective action needed and submits appropriate documentation to bring the account to resolution. 

 

This is a Hybrid Remote position based in our Concord, NH office

 

Successful candidates joining our TEAM will be eligible for:

• Outstanding Benefits: Medical, Dental, Vision Insurance 
• Company Paid: Short Term Disability and Life Insurance
• 401(K) with no waiting period and fully vested match insurance
• 4 company paid urgent care visits for employees and dependents
• Paid Time Off plan
• And many other perks…discounted tickets for performances and amusement parks, reduced insurance offerings and many other voluntary benefits to suit each employee’s needs.

A typical day in the life of a Credit Balance/Refund Specialist includes, but not limited to:  

• Determines if the payments received are correct and then determines the appropriate steps for resolution, including (but not limited to) refund payment, transfer, and adjustment.
• Generates refund requests and routes resolution to accounts payable for patients and third party payers; Refunds overpayments and/or transfers payments to the appropriate account
• Apply credit balance reconciliation changes and updates according to any internal or regulatory guidelines at the federal, state and local levels
• Responsible for responding to insurance/patient requests for refunds in a timely manner (within 48 hours of receipt of message)
• Identifies the originating cause of the need for a refund and compiles a report of recurring issues to management
• Any other duties to support the billing team

Education & Experience:  

• High School Diploma or equivalent
• Proficient in MS Word, MS Excel Spreadsheet (pivot tables), and SharePoint Applications
• Extensive knowledge of medical claims processing & billing; at least 3 years of experience preferred
• Experience with multi-site, individually credentialed facilities (urgent care, ASC, etc.)
• Excellent customer service, problem-solving skills, and the ability to perform routine mathematical functions
• Experity experience preferred
   

A typical work schedule consists of weekdays 8am – 5:00pm in Concord, NH. This is a hybrid role in which the employee would be required to be in the office a minimum of 2 days a week or more as needed.
 
ClearChoiceMD provides an opportunity to work with other like-minded professionals where you can develop and build your skills. If you are looking for the next step in your career in a team-oriented culture, we’d love to hear from you. 
 

We are an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.