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Credit Balance and Refund Specialist

locations

Cleveland, OH

• Remote – Alaska
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• Remote – New Mexico
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• Remote – Illinois
• Remote – Idaho
• Remote – Hawaii
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• Remote – Florida
• Remote – Delaware
• Remote – DC
• Remote – Connecticut
• Remote – Colorado
• Remote – Oklahoma
• Remote – California
• Remote – Arkansas
• Remote – Arizona

time type

Full time

job requisition id

R27075

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Title: Credit Balance and Refund Specialist

Overview of Position

Follow up of outstanding A/R all payers and/or including self pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.

What will be my duties and responsibilities in this job?

• Thoroughly reviewing accounts with credit balances from our credit balance reports or refund requests from insurance, patients and clients.
• Sending insurance companies retraction requests and notices as well as gathering data for physical refunds requests to be sent to our clients.
• May include making phone calls to insurance companies for further information we need regarding an account reimbursement.
• Also includes debit or credit adjustments on accounts of other kinds outside of actual refunds.
• Includes processing refunds via credit cards and printing physical checks.
• Sending reports to collection agencies if accounts in collections received payment.
• This might also require follow up work if request was not resolved timely.
• Other duties may apply.
• Normally receives detailed instructions on all work.
• Requires basic reading, writing, addition and subtraction skills.

What are the requirements needed for this position?

• 1+ years of work experience
• Credit Balance and Refund experience a Plus
• High School Diploma or equivalent work experience

What other skills/experience would be helpful to have?

• Medical Billing experience
• Good understanding of the A/R process.
• Strong math/accounting acumen
• Capable of meeting daily deadlines with little supervision.

What are the working conditions and physical requirements of this job?

• Office Environment
• Physical requirements include general office demands

How much should I expect to travel?

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Colorado Residents Only:

The base pay range for Colorado residents is $11.33 – $20.85 plus any relevant incentive pay programs that may be aligned to the role. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your base pay, Change Healthcare offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental and vision plans; wellness program; health savings account; flexible spending accounts; 401(k) retirement plan; life insurance; short-term and long-term disability insurance; Employee Assistance Program; PTO; tuition reimbursement; and employee-paid critical illness and accident insurance.

Diversity, Equity & Inclusion:

At Change Healthcare, we include all. We celebrate ersity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships. Business Resource Groups (BRGs) play a central role in advancing ersity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/ersity

Feeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some iniduals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.