Insurance Credit Specialist

Job Summary

A company is looking for an Insurance Credit Specialist to join their team in a long-term contract position.

Key Responsibilities

• Investigate and resolve credit balances by analyzing overpayments and determining appropriate actions
• Review insurance claims to identify and address discrepancies, ensuring accurate resolution
• Process refunds to insurance payers by verifying details and completing adjustments as needed

Required Qualifications

• Proficiency in accounting software systems and enterprise resource planning (ERP) tools
• Strong knowledge of accounts receivable processes and cash flow analysis
• Extensive experience with credit balances, insurance billing, and revenue cycle management
• Familiarity with insurance claims, collections, denials, and reimbursements
• Understanding of health insurance industry standards and payer regulations