Job Description_Credit balance - AR Analyst

Job Name:

Senior Executive

Location/Site:EXL India, Chennai

Position Title:

Senior Executive - AR Specialty (Credit balance)

Reporting to:

Assistant Manager, Lead Asst. Manager

Overview:

The Credit Balance Specialist performs review of all credit balances within Revenue Cycle. Job duties include, but are not limited to, analyzing all credit balances for patient and Insurance. They will process patient and Insurance refunds/Insurance will apply for Offset. They will perform these duties while meeting the mission and goals, as well as meeting the regulatory compliance requirements.

Qualifications:

- Minimum of 3 years of experience in credit balance resolution in the US healthcare industry.

- Any graduate.

- Strong knowledge of healthcare billing and insurance processes.

- Proficiency in healthcare billing software and Microsoft Office Suite (Excel, Word, Outlook).

- Excellent analytical and problem-solving skills.

- Strong attention to detail and organizational skills.

- Ability to work independently and as part of a team.

- Excellent communication and interpersonal skills.

Experience:

BPO/KPO Experience: 3-5 years

US Healthcare Insurance (Commercial Payer) Credit Balance experience preferred

Communication Skill:

Excellent written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: Day/Mid Shift

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Key Responsibilities:

Credit Balance Resolution:

- Identify and resolve credit balances on patient accounts by reviewing account details and insurance/Patient payments.

- Investigate and analyze overpayments and duplicate payments.

- Process patient and insurance refunds in a timely manner.

Account Reconciliation:

- Reconcile accounts to ensure all payments and adjustments are accurately recorded.

- Collaborate with billing and collections teams to address discrepancies and ensure accurate account balances.

Compliance and Reporting:

- Maintain compliance with federal and state regulations, as well as company policies and procedures.

- Prepare and maintain detailed reports on credit balances and refunds.

- Participate in audits and provide necessary documentation and explanations.

Customer Service:

- Respond to inquiries from patients, insurance companies, and internal departments regarding credit balances and refunds.

- Provide exceptional customer service and resolve issues in a professional and efficient manner.