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Credit Balance Specialist - Phoenix (Biltmore)

Revenue Cycle Management

  • Posted: 15 April 2021
  • Full-time
  • Phoenix, AZ, USA

At American Vision Partners (AVP), we’re bringing the best together. Our company was created with the affiliation of Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, and M&M Eye Institute. Today we’re one of the nation’s largest and most comprehensive ophthalmology practices with more than 45 eye care centers in Arizona and New Mexico - including 24 ambulatory surgical centers. At AVP we are committed to best in class patient care, being a pioneer in research and technology and most importantly, rewarding and recognizing our employees!

Credit Balance Specialist
Revenue Cycle Management - Phoenix-Biltmore

As a Credit Balance Specialist, you'll accurately review account credit balances to determine appropriate steps to resolve. You'll also review payment postings, adjustments, and charges to appropriately issue refunds. 

Responsibilities:

  • Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund
  • Responsibilities will include accurately posting payments, adjustments and refunds as necessary
  • Reviews transactions (payments and adjustments) from various sources on a daily basis.  Payments sources include Electronic Remittances, paper checks and EOB’s, patients, collection agency, capitation plans, Care Credit and Patient Portal
  • Adheres closely to the department’s payment reconciliation process
  • Prioritizes work to maximize turn-around time
  • Meets or exceeds productivity standards in the completion of daily assignments and accurate production
  • Maintain an error rate in accordance with departmental policy
  • Makes changes to demographic information as necessary in order to produce a clean patient statement
  • Answer and respond to external and internal phone calls in a timely manner
  • Check and respond to emails in a timely and professional manner
  • Performs all other assigned duties

Qualifications:

  • High School diploma or equivalent
  • 3+ years medical billing experience
  • Ophthalmology background desired
  • Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
  • Demonstrates computer literacy
  • Well-organized with attention to detail
  • Ability to read and understand oral and written instructions
  • Excellent math skills
  • Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
  • Professional customer service skills
  • Has a desire and dedication to work with self-discipline
  • Ability to maintain the strictest confidentiality: adhere to all HIPAA guidelines and regulations

Benefits & Perks:

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental to significant eye care discounts, continuing education, 401(k), 9 paid holidays plus PTO, flexible work hours and much more!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.