Insurance Credit Resolution Specialist

Job Summary

A company is looking for an Insurance Credit Resolution Specialist responsible for processing insurance-related credits.

Key Responsibilities

• Implement payer specific workflows for void requests, take back requests, and insurance refund initiations
• Research and resolve overpaid and denied claims in athenaNet
• Process 35+ insurance refunds daily and manage inquiries using Salesforce

Required Qualifications

• High School Graduate, Medical Office training certificate, or relevant experience
• 3+ years of experience in physician revenue cycle or claims management
• Experience with posting charges, claim follow-up, collections, and payment posting
• Proficiency in using athenahealth's suite of tools
• Compliance with HIPAA rules and regulations