Job Category: Executive – Credit Balance

Exp: 2 – 4 Yrs 

Requirement: 7

Job Location: Chennai

Job Description:

• Responsible for credit balances, undistributed payments and requests for refunds
• Conducts timely and accurate review of undistributed payments, overpayments, credits and requests for refunds in the practice management system.
• Responsible for taking all steps necessary to facilitate prompt and accurate resolution of payments including follow up with third party payers to determine coordination of benefits, insurance primacy rules and filing order.
• Initiate refunds to insurance companies, and other third parties by following established refund procedures, contractual obligations, payer and regulatory requirements.
• Conduct timely and accurate review of refund requests for payers with contracted recoupment language to reduce future recoupment reconciliations.
• Responsible for reviewing, validating and correcting adjustments on accounts based on insurance reimbursement and coverage, contracted payers, and services provided.
• Reconcile misdirected and clearing accounts by researching and posting payments to the correct accounts
• Basic knowledge in PLB adjustment codes are preferred.
• Flexible to work in night shift during transition period.