Our Company Amerita Overview Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Credit Balance Specialist IIis responsible for facilitating the resolution of insurance and patient credit balances by researching to determine whether the refund is appropriate, a payment transfer/offset is needed, or a contractual adjustment is warranted in accordance with applicable state/federal regulations and company policies. The Credit Balance Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. Above all, qualified candidates should possess exceptional internal and external customer service skills and actively promote Amerita's company culture. Monday-Friday-7:00 AM -3:30 PM Mountain Time • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance• 401(k) Retirement Plan with Employer Match• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability• Employee Discounts• Tuition Reimbursement• Paid Time Off & Holidays Responsibilities + Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals + Understands and adheres to all applicable state/federal regulations and company policies + Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds + Verifies dispensed medication, supplies, and professional services were billed accurately. Validates reimbursement is correct and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice. + Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, and assignment of benefits to determine the correct credit classification + Initiates and coordinates offsets and cash research requests with the cash applications department and conducts accurate payment transfers in accordance with established processes. Reverses or completes necessary adjustments within approved range. + Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR + + Creates patient refund packets and validates receipt of previously submitted payer disputes + Works within established departmental goals and performance/productivity metrics + Identifies and communicates issues and trends to management Qualifications + High School diploma/GED or equivalent required; some college a plus + A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement + Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus + Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology + Solid Microsoft Office skills with the ability to type 40+ WPM + Strong verbal and written communication skills with the ability to independently obtain and interpret information + Strong attention to detail and ability to be flexible and adapt to workflow volumes + Knowledge of federal and state regulations as it pertains to revenue cycle management a plus + Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) . Salary Range USD $18.00 - $22.00 / Hour ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-CO-ENGLEWOOD ID 2024-156959 Line of Business Amerita Position Type Full-Time Pay Min USD $18.00/Hr. Pay Max USD $22.00/Hr.