Insurance Specialist – Credit Resolution
Meduit | Driving Revenue Cycle Performance
full-time
Posted on:
Location Type: Remote
Location: Minnesota • United States
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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 (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)
- Employment eligibility: Candidates must be legally authorized to work in the United States at the time of hire.
- The company does not provide employment visa sponsorship for this position.
- As a condition of employment, a pre-employment background check will be conducted.
- At this time, we are unable to consider candidates residing in the state of New York for this position.
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 managementrevenue recoverymedical billingappeals processingrefund processingadjustmentsaudit documentationproductivity standardsquality standards
Soft Skills
collaborationproblem-solvingattention to detailcommunicationprocess improvement
Certifications
High School DiplomaGED