Credit Balance Analyst- Remote - Full-time

 POSITION SUMMARY

Post all payments to the practice management system. Process End of Day. Perform duties, processes and functions assigned by management. . Work is conducted remotely, outside of a traditional office environment. Must be able to perform work at a dedicated work space with limited interruption or distraction, and high speed internet capability with 25 Mbps download speed/10 Mbps upload speed. 

ESSENTIAL FUNCTIONS 

· Review credit balance reports for potential refunds to insurance companies and/or patients. 

· Transfer patient overpayment to existing patient balance if appropriate. 

· Research insurance company requests for refunds and either dispute or submit as appropriate. Process refund 

requests for charges with missing documentation. 

· Monitor and work unresolved accounts and submit all refund requests for approval. 

· Work patient credit balances and manage insurance refund report and overpaid claims work list in Athena in a timely 

manner. 

· Report to the office location, as needed. 

· Perform other responsibilities associated with this position as deemed appropriate to ensure the success of the Business Office. 

GENERAL COMPENTENCIES DESIRED 

· Self-motivated, with the ability to work independently, with minimal supervision. 

· Knowledge of insurance terminology, CCI/bundling issues, CPT, ICD-10, HCPC and contractual agreements. 

· Familiarity with Medicare, Medicaid, HMO and commercial guidelines. 

· Ability to maintain confidentiality of patient and personnel information. 

· Detail-oriented paying close attention to accuracy. 

· Strong interpersonal skills. 

· Ability to be comfortable in learning and using digital tools. 

· Strong PC skills required to include all Microsoft applications, practice management systems and electronic health 

records. 

· Good problem solving skills required in order to maximize effectiveness and efficiency of job duties.

PHYSICAL DEMANDS 

Requires sitting for long periods of time. Requires eye-hand coordination and manual dexterity sufficient to operate a 

keyboard, photocopier, scanner, telephone, calculator and other office equipment. Requires normal range of hearing and eye 

sight to record, prepare and communicate appropriate reports. Requires the ability to work under stressful conditions and/or 

irregular hours to meet deadlines.

CREDENTIALS DESIRED 

Must have a high school diploma or equivalent education and at least one year of prior work experience in a medical business 

office.

HOURS: Monday-Friday

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.