Credit Balance Senior Associate AR- Voice Process- RCM (US Healthcare)

Dear Candidate,

Greetings from Guidehouse!

We are looking for experienced candidates with Credit Balance - Senior Associate AR- RCM experience.

What You Will Do:

• Review and resolve patient and insurance credit balance accounts accurately and within established timelines. Contact insurance companies for further explanation of over payment and recoupments.
• Process refund packets, recoupments, payment transfer requests, and approved reversal adjustments in accordance with client and regulatory guidelines.
• Research and resolve unidentified payments, unapplied cash, and posting discrepancies to ensure account accuracy.
• Prioritize aging credit balance inventories to ensure timely resolution and with service level agreements (SLAs).
• Collaborate with Billing, Accounts Receivable, Payment Posting, Coding, and Client teams to resolve complex account issues.
• Maintain accurate and detailed documentation of account activities, refund statuses, and resolution notes in the system.
• Meet productivity, quality, and turnaround time targets while ensuring accuracy and compliance.

What You Will Need:

• Must be a graduate.
• Minimum 3+ years of exp in Credit Balance or 5+ years of experience in cash posting.
• Good understanding of EOBs, ERAs, refunds, recoupments, offsets, and adjustment transactions.
• Experience working with payer and patient credits.
• Adaptable to night shift work with a strong commitment to operational requirements.
• Good voice and demonstrate professional demeanour via phone.
• Strong analytical abilities with expertise in reviewing and interpreting credit balance transactions at the account level.

What Would Be Nice To Have:

• Experience in GPMS / NG billing system.
• Experience in Pediatrix billing.

Note:Employees must opt for cab mandatorily, we expect candidates to be within 25 kms radius from the office location. Cab facility will be extended subject to feasibility.

Degree is mandatory- Diploma can't be considered. Proof of documents for recent employment is mandatory.