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Overview
Job Summary
The Credit Specialist is responsible for the timely process of outstanding overpayments. Facilitate resolution of refunds to efficiently process patients’ and insurance companies’ requests/credits.
Essential Functions and Responsibilities include the following:
Review, document and resolve accounts in a credit balance status and/or solicited refunds; Process and submit for approval within state, federal, and department guidelines; Research and resolve issues identified via report, email and assigned callback from various departments, when necessary
Follow up on open credit balances thoroughly, accurately, and promptly to obtain information required to resolve credit balances; Escalate accounts appropriately to other departments or individuals, for additional information or review
Access payor system resources to research and correct claims or initiate a recoupment, when necessary
Maintain current knowledge of contracts, fee schedules, policies and procedures relevant to the billing process
Report all payor issues to Lead/Supervisor
Other duties as assigned
Additional Job Requirements
Regular scheduled attendance
Indicate the percentage of time spent traveling - 0%
Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods ’ employment practices and policies.
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.
Education & Experience
High school diploma or general education degree (GED); and one to two years’ related experience and/or training; or equivalent combination of education and experience.
1-2 years’ medical billing experience preferred
Customer service experience preferred
Knowledge of medical terminology, insurance billing and reimbursement.
Skills
Strong written and verbal communications skills.
Ability to apply mathematical concepts and calculations.
Ability to multi-task efficiently, works in a fast paced environment on multiple projects, and has a strong attention for detail
Computer Skills
Intermediate with Microsoft Office, including Word, Excel, and Outlook
Certificates, Licenses, Registrations
None
Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Minimum pay USD $35,125.00/Yr. Maximum Pay USD $50,875.00/Yr. Benefits For more information on our industry-leading benefits, please visit our benefits page here.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
