Walk-in || Credit Balance Review/ CBR/RCM/Healthcare

Contact Person : Roja - [email removed]

Role : Credit Balance Review (CBR)

Designations : 1) Team Lead

2)Associate and Sr Associate Level

Notice Period : Immediate Joiners Only

Role & responsibilities

• The Credit Balance Review Specialist is responsible for identifying, researching, analyzing, and resolving credit balances in patient and insurance accounts.
• The role involves reviewing overpayments, duplicate payments, contractual adjustments, refunds, and account corrections while ensuring compliance with payer regulations and client policies.

Preferred candidate profile :

• Review and analyze credit balance accounts on a daily basis.
• Identify the root cause of credit balances, including:
• Overpayments
• Duplicate payments
• Incorrect adjustments
• Coordination of Benefits (COB) issues
• Patient overpayments
• Initiate and process insurance and patient refunds as required.
• Research payer contracts and payment guidelines to ensure accurate resolution.
• Communicate with insurance companies regarding credit balance discrepancies.
• Prepare refund requests and obtain necessary approvals.
• Document account findings and actions taken in the billing system.
• Ensure compliance with HIPAA, Medicare, Medicaid, and commercial payer regulations.
• Meet productivity and quality targets established by the organization.
• Maintain accurate records of refunds, recoupments, and account adjustments.
• Escalate unresolved issues to management as required.