Job Summary: 
The Credits Rep I is responsible for evaluating credit balances on patient accounts and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner. 
 
Responsibilities: 

Resolve Credit BalancesReceive credit balance report provided by regional management. Receive client requests. Receive Insurance Requests. Receive Medicare Requests. These must be completed within 45 days to avoid offsets. Retrieve imaged EOBs. Review payments and EOBs to determine who is due the refund. Process Refunds (Medicare, Medicaid Voids, Insurance). Clear the general account balances. Process account transfers for multiple patient accounts. Where applicable create payment transfer documentation Communicate with clients to resolve refund issues as needed and inquiries at the discretion of regional management. Complete various projects as assigned by management. Assist with other team member processing areas as directed by management. Communicate trends and opportunities for improvement to regional management. Other duties as assigned 

 
Qualifications: 

High School Diploma or equivalent required Medical Billing experience preferred. Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards 

 
Skills/ Knowledge Requirements: 

Knowledge of insurance carrier payment policies, practices, and amounts. Logical and efficient, with keen attention to detail. Highly self-motivated and directed. Ability to effectively prioritize and execute tasks while under pressure. Excellent listening, interpersonal, written, and oral communication skills. Knowledge of insurance carrier policies and practices. Experience working in a team-oriented, collaborative environment. Knowledge of applicable data privacy practices and laws. Able to manage multiple concurrent tasks Flexibility to handle unexpected daily challenges Very strong written and verbal communication skills Able to type a minimum of four words per minute Basic computer operating skills Ability to use one touch keypad. For this US-based position, the base pay range is $14.69 - $20.28 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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