Credit Balance Specialist

Emploi pas sur LinkedIn

🕒 il y a 23 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 13%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Sarnova

Sarnova

1001 - 5000 employés

Fondée en 2008

🏥 Santé

🤝 B2B

☁️ SaaS

💰 €500 000 Venture Round - Sarnova en 2009-12

Healthcare • B2B • SaaS

Sarnova est une entreprise spécialisée dans la distribution et les services liés aux soins de santé, dont la famille d'entreprises (incluant Bound Tree Medical, Tri-anim Health Services, Cardio Partners, et Digitech) fournit des produits, équipements, services et technologies à travers les services médicaux d'urgence (SMU) et le continuum des soins aigus. Depuis près de 50 ans, le groupe a distribué plus de 100 000 produits de santé et de sécurité aux fournisseurs de SMU, hôpitaux, écoles, entreprises et agences gouvernementales. Il offre également des solutions en soins respiratoires/anesthésie/soins critiques, des ventes de DEA et gestion de programmes, des formations de RCP, ainsi qu'une plateforme de facturation SMU et d'intelligence d'affaires basée sur le cloud. Sarnova est une entreprise de portefeuille de Patricia Industries/Investor AB.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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

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