Credit Balance Executive

1 - 4 years

0 Lacs

Posted:6 days ago| Platform: Naukri logo

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Skills Required

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

  • Analyze credit balances and determine the root cause (e.g., over payments, duplicate payments, misposted adjustments).
  • Resolve credits through refunds, adjustments, or re-billing as appropriate.
  • Process insurance and patient refunds accurately and timely.
  • Ensure compliance with payer guidelines, HIPAA regulations, and company policies.
  • Work closely with other RCM departments (billing, collections, payment posting) to investigate discrepancies.
  • Maintain documentation and notes for all actions taken on accounts.
  • Respond to internal and external refund inquiries professionally and efficiently.
  • Participate in audits and assist with month-end reporting related to credit balances.
  • Meet or exceed daily and monthly productivity and quality targets.

Preferred candidate profile

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