Credit Balance Specialist

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🕒 vor 26 Tagen

🇺🇸 Vereinigte Staaten – Remote

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👻 Geisterscore 10%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Sarnova

Sarnova

1001 - 5000 Mitarbeiter

Gegründet 2008

🏥 Gesundheitswesen

🤝 B2B

☁️ SaaS

💰 €500.000 Venture Round - Sarnova im 2009-12

Healthcare • B2B • SaaS

Sarnova ist ein auf den Gesundheitsbereich fokussiertes Vertriebs- und Dienstleistungsunternehmen, dessen Unternehmensfamilie (einschließlich Bound Tree Medical, Tri-anim Health Services, Cardio Partners und Digitech) Produkte, Ausrüstung, Dienstleistungen und Technologie im gesamten Spektrum der Notfallmedizin (EMS) und der Akutversorgung liefert. Seit fast 50 Jahren hat die Gruppe mehr als 100. 000 Gesundheits- und Sicherheitsprodukte an EMS-Anbieter, Krankenhäuser, Schulen, Unternehmen und Regierungsbehörden vertrieben und bietet zudem Lösungen für die Atemwegsversorgung/Narkose/Intensivmedizin, den Verkauf und das Management von AED-Programmen, CPR-Training sowie eine cloudbasierte EMS-Abrechnungs- und Business-Intelligence-Plattform an. Sarnova ist ein Portfoliounternehmen von Patricia Industries/Investor AB.

Beschreibung

• Receive, review, and process refund requests in accordance with payer rules, internal procedures, and regulatory requirements • Accurately post and record refund transactions in the billing system, ensuring proper documentation and audit‑ready financial records • Research account histories to verify refund validity, payment sources, EOB details, and overpayment rationale • Communicate with external stakeholders, including attorneys, no‑fault carriers, workers’ compensation representatives, and the VA as needed to confirm refund details or request supporting documentation • Interpret and understand Explanations of Benefits (EOBs) to determine refund justification and payment disposition • Collaborate closely with internal teams, including Payment Posting, Billing, QA, and Client Services, to resolve discrepancies and ensure accurate account adjustments • Ensure refunds are processed within required timeframes, meeting daily productivity goals and departmental service level expectations • Maintain detailed, accurate notes documenting actions taken, communication, and financial adjustments • Identify discrepancies, patterns, or repeat issues and escalate them to the Department Manager for resolution or process improvement • Handle mail, emails, and refund correspondence, ensuring proper follow‑through and documentation • Support compliance efforts, ensuring all refund processes meet HIPAA, payer, and internal standards

🎯 Anforderungen

• Education: High School Diploma or equivalent • Strong ability to multi‑task and manage a high‑volume workload while maintaining accuracy • Collaborative team player capable of working effectively across internal departments and with external partners • Professional, pleasant, and confident demeanor in verbal and written communication • Ability to remain calm, organized, and focused under pressure • High computer literacy, including ease working with dual monitors and navigating multiple systems simultaneously • Excellent follow‑through and problem‑solving abilities • Strong mathematical skills and comfort handling financial calculations • Proficiency in reading and interpreting Explanations of Benefits (EOBs) • Strong attention to detail and commitment to accuracy • Ability to meet deadlines and maintain high productivity • Previous experience handling refunds, payment posting, or medical billing is helpful • Dependable, punctual, and accountable with a strong work ethic • Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

🏖️ Vorteile

• Competitive salary, commensurate with experience • Comprehensive benefits package, including 401(k) Plan

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