Credit Specialist Representative

Responsibilities:

· Reviews and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund check requests.
· Posts debits for approved refunds.
· Resolves Department credit balance inquiries for transfers and refund check requests.
· Understanding of electronic medical record / billing system Pricing Module and fee schedules
· Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure.

Requirements

· 1+ year of experience with complex refunds to insurance
· Knowledgeable in physician reimbursement and managed care claim payment issues.
· Communication skills and ability to effectively communicate with various levels of management in a multi-disciplinary environment.
· Analytical skills with attention to detail.
· Ability to do math calculations, input data into the computer, and analyze data as requested.
· Ability to possess an adaptable and flexible approach in dealing with a variety of people.
· Must be willing to work onsite in Ortigas, Pasig City