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Mid-level AR role in metro with common skillset and known employer increases candidate competition.
Healthcare payer/patient credit, EOB/ERA and billing system experience create strong domain-specific fit requirements.
Explicit years requirement, mandatory AR/healthcare billing skills, and night-shift expectation increase screening strictness.
Review and resolve patient and insurance credit balance accounts accurately and within established timelines.
Contact insurance companies regarding over payments and recoupments; process refunds, recoupments, payment transfers, and reversal adjustments per client and regulatory guidelines.
Collaborate with multiple teams to resolve complex account issues and ensure compliance with productivity, quality, and turnaround time targets.
Graduate degree required.
Minimum 3+ years experience in Credit Balance or 5+ years experience in cash posting.
Good understanding of EOBs, ERAs, refunds, recoupments, offsets, and adjustment transactions; experience with payer and patient credits.
Adaptability to night shift work.
Strong analytical skills focused on reviewing and interpreting credit balance transactions at the account level.
Experience working in cross-functional teams to resolve complex accounts issues in healthcare claims or billing context.
Familiarity with GPMS / NG billing systems or Pediatrix billing is a plus but not mandatory.