Credits Specialist - Medical Billing
What You’ll Be Doing:
We are looking for a Credit Specialist II to help us establish the Overpayments vertical of Grow Therapy, and who will work on overpayment validation projects with the RCM Team. You’ll be part of a remote-friendly team of specialists reporting directly to the Insurance Operations Department. Your responsibilities will include:
Researching overpayments in instances where payors (e.g., insurance companies or government programs) have paid more than the amount due, and fulfilling refund requests to our payors
Initiating and managing refunds once verified, and ensuring the appropriate steps are taken to return funds.
Fulfilling overpayment requests based on the contractual timelines outlined by each payor.
Ensuring compliance with regulations and policies to ensure all actions follow federal, state, and payer-specific regulations.
Maintaining accurate records and keeping detailed documentation for transparency, audits, and process improvement.
Role Details: Employment Type: Full Time, Non-Exempt Compensation: The base compensation range for this position is $23.72 - $26.44 USD Hourly
The compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.
You’ll Be a Good Fit If:
Healthcare Experience: Strong understanding of healthcare claims, overpayments, and facilitating refunds to payors. At least 2 years of experience in Medical Billing or in a Healthcare setting, with a strong understanding of healthcare claims, overpayments, and experience facilitating refunds to both commercial and government payors.
Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered. Demonstrates strong attention to detail and takes initiative to resolve issues independently.
Problem-Solving: Proactive problem solver, with the ability to identify key pain points hindering operational performance and develop effective, practical solutions to address the issues.
Agile: You thrive in a fast-paced, unpredictable environment, and you’re able to pivot quickly as new priorities and challenges arise.
Team Player: You’re collaborative by nature, you value camaraderie and celebrate group successes, serving as a dependable partner and source of encouragement for colleagues.
About the job
Apply for this position
Credits Specialist - Medical Billing
What You’ll Be Doing:
We are looking for a Credit Specialist II to help us establish the Overpayments vertical of Grow Therapy, and who will work on overpayment validation projects with the RCM Team. You’ll be part of a remote-friendly team of specialists reporting directly to the Insurance Operations Department. Your responsibilities will include:
Researching overpayments in instances where payors (e.g., insurance companies or government programs) have paid more than the amount due, and fulfilling refund requests to our payors
Initiating and managing refunds once verified, and ensuring the appropriate steps are taken to return funds.
Fulfilling overpayment requests based on the contractual timelines outlined by each payor.
Ensuring compliance with regulations and policies to ensure all actions follow federal, state, and payer-specific regulations.
Maintaining accurate records and keeping detailed documentation for transparency, audits, and process improvement.
Role Details: Employment Type: Full Time, Non-Exempt Compensation: The base compensation range for this position is $23.72 - $26.44 USD Hourly
The compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.
You’ll Be a Good Fit If:
Healthcare Experience: Strong understanding of healthcare claims, overpayments, and facilitating refunds to payors. At least 2 years of experience in Medical Billing or in a Healthcare setting, with a strong understanding of healthcare claims, overpayments, and experience facilitating refunds to both commercial and government payors.
Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered. Demonstrates strong attention to detail and takes initiative to resolve issues independently.
Problem-Solving: Proactive problem solver, with the ability to identify key pain points hindering operational performance and develop effective, practical solutions to address the issues.
Agile: You thrive in a fast-paced, unpredictable environment, and you’re able to pivot quickly as new priorities and challenges arise.
Team Player: You’re collaborative by nature, you value camaraderie and celebrate group successes, serving as a dependable partner and source of encouragement for colleagues.