Insurance Specialist – Credit Resolution

🔥 54 minutes ago

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Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Meduit | Driving Revenue Cycle Performance is a technology-driven healthcare revenue cycle management (RCM) company that combines RCM expertise with AI, robotic process automation, predictive analytics and patient engagement tools to optimize cash flow, reduce denials, and improve patient satisfaction for hospitals, health systems and large practices. Their services include pre-service solutions, centralized pre-registration, patient financing, business office services, denials resolution, billing & follow-up, legacy A/R work down, government reimbursement services, and AI offerings such as MeduitAI™, SARA conversational and robotic automation, automated pre-authorization and claims follow-up. Meduit also provides consulting, reporting & analytics, staffing, specialized recoveries and comprehensive business office services to help providers accelerate revenue and mitigate operational challenges.

📋 Description

• Review accounts for credit balances and denials, determine root cause, and take appropriate corrective action through refund, adjustment, rebill, or appeal • Review and resolve credit balances across all payers, prioritizing regulatory accounts such as Medicare credit balance reporting • Submit timely, accurate appeals and process credit resolutions in alignment with payer and regulatory guidelines • Ensure account activity supports forward movement toward resolution with a one-touch mindset • Maintain thorough, audit-ready documentation and accurate account notes • Meet established productivity (APH) and quality standards while prioritizing high-risk, high-dollar, and timely filing accounts • Collaborate cross-functionally to resolve issues and prevent recurrence • Identify trends and escalate systemic issues, providing feedback for process improvement • Initiate and track refunds, adjustments, and reapplications accurately and timely

🎯 Requirements

• High School Diploma/GED • Minimum of 3 years of experience in hands-on denials and credit resolution, with a proven ability to recover revenue from complex insurance denials and credits • 2+ years Medical Billing/Follow-up experience • Rural Health Clinic and Critical Access Healthcare experience • Proficiency with PC-based applications, including Microsoft Outlook, Word, and Excel • Download speed of 50MB or higher and upload speed of 20–25MB or higher • Access to a secure and private workspace where protected health information cannot be heard or seen by others • Must be legally authorized to work in the United States at the time of hire • The company does not provide employment visa sponsorship for this position • Pre-employment background check required • Candidates residing in the state of New York cannot be considered

🏖️ Benefits

• Medical, dental, and vision insurance • HSA and FSA available • 401(k) with company match • Paid Wellness Time and Holidays • Employer paid life insurance and long-term disability • Internal growth opportunities