Insurance Specialist – Credit Resolution
Meduit | Driving Revenue Cycle Performance
full-time
Posted on:
Location Type: Remote
Location: Minnesota • United States
Visit company websiteExplore more
Salary
💰 $20 - $22 per hour
About the role
- Review accounts for credit balances and denials, determine root cause, and take appropriate corrective action (refund, adjustment, rebill, or appeal)
- Review and resolve credit balances across all payers, with priority on regulatory accounts (e.g., Medicare credit balance reporting)
- Submit timely, accurate appeals and process credit resolutions in alignment with payer and regulatory guidelines (including Medicare credit balance requirements)
- Ensure all account activity supports forward movement toward resolution with a one-touch mindset
- Maintain thorough, audit-ready documentation and accurate account notes
- Meet established productivity (APH) and quality standards while prioritizing high-risk, high-dollar, and timely filing accounts
- Collaborate cross-functionally to resolve issues and prevent recurrence
- Identify trends and escalate systemic issues, providing feedback for process improvement
- Initiate and track refunds, adjustments, and reapplications accurately and timely
Requirements
- High School Diploma/GED
- Minimum of 3 years of experience in hands-on denials and credit resolution, with a proven ability to recover revenue from complex insurance denials and credits
- 2+ years Medical Billing/Follow-up experience
- Rural Health Clinic and Critical Access Healthcare experience
- Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
- Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
- Access to a Secure and Private workspace
Benefits
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
credit resolutiondenials managementappeals processingrefund processingadjustmentsreapplicationsaudit documentationproductivity standardsquality standardstrend identification
Soft Skills
collaborationproblem-solvingattention to detailcommunicationprocess improvement
Certifications
High School DiplomaGED