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Credit Resolution Escalation Specialist
Ventra Health. Monitor and resolve credit balances and refunds from billing system overages escalated from the Credit team.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing credit balances and refunds within a healthcare billing context, with a strong focus on compliance with applicable laws and effective communication across diverse teams. Proficient in analyzing data and resolving issues related to insurance payments and Explanation of Benefits (EOB) statements.
Highest-signal resume keywords
Insurance Payment PostingExplanation Of Benefits (EOB) KnowledgeStrong Communication SkillsTime Management SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisMathematical SkillsBilling ComplianceRefund ProcessingContract Review
Soft Skills
Interpersonal CommunicationInitiativeProblem-SolvingFlexibilityCollaboration
Tools & Technologies
Word Processing SoftwareSpreadsheet SoftwareDatabase Software
Industry Keywords
Healthcare BillingInsurance PlansState/Federal RegulationsClient SuccessRefund Checks
About the role
Key responsibilities & impact- Monitor and resolve credit balances and refunds from billing system overages escalated from the Credit team.
- Develop a plan to complete daily work lists by the end of each day.
- Review refund request letters and determine appropriate resolutions based on contracts and timely guidelines.
- Identify trends and notify appropriate departments.
- Send check registers to Client Success or Finance for approval.
- Obtain check numbers from clients and upload them into the system so credits can be cleared.
- Research and correct returned refund checks.
- Analyze data from various reports and make recommendations.
- Perform special projects and other assigned duties.
- Comply with applicable billing laws and provide service to providers nationwide in a team-oriented environment.
Requirements
What you’ll need- High School Diploma or Equivalent.
- Two (2) year of experience posting insurance payments in a healthcare setting.
- Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.
- Knowledge of Explanation of Benefits (EOB) statements.
- Knowledge of a variety of insurance plans.
- Strong oral, written, and interpersonal communication skills.
- Strong word processing, spreadsheet, and database software skills.
- Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimal.
- Strong time management skills.
- Strong organizational skills.
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
Benefits
Comp & perks- Performance-based incentive plan
- Discretionary incentive bonus
- Referral bonus
- Reasonable accommodations for qualified individuals with disabilities