Credit Processing Specialist, FT, Days, - Remote

reputed company health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to physician and hospital accounts. Responsible for data analysis and interpretation throughout reputed company functions of reputed company cycle, analysis of aged accounts including remittances to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and/or patient credits to include analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions reputed company team members are expected to be knowledgeable and compliant with reputed company's purpose: reputed company health. Serve with compassion. Be the difference. Analyzes insurance and/or patient credit balances to determine root cause, takes action to resolve account. Contacts payer and makes hard inquiries on account status. Escalates problem account. Documents billing activity on the patient accounts according to departmental guidelines; ensures compliance with reputed company applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be reputed company for further analysis. Ensures reputed company work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends reputed company required training. Adheres to policies and procedures as required by reputed company and follows reputed company compliant regulatory payer guidance. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Work Shift Day (United States of America) Location Colonial Life Building Facility 7001 Corporate Department 70019935 System Billing Office Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at reputed company. Apply To This Job