Credit Specialist 1

Job Summary

The Credit Specialist is responsible for the timely process of outstanding overpayments. Facilitate resolution of refunds to efficiently process patients’ and insurance companies’ requests/credits.

Essential Functions and Responsibilities include the following:

• Review, document and resolve accounts in a credit balance status and/or solicited refunds; Process and submit for approval  within state, federal, and department guidelines; Research and resolve issues identified via report, email and assigned callback from various departments, when necessary

• Follow up on open credit balances thoroughly, accurately, and promptly to obtain information required to resolve credit balances; Escalate accounts appropriately to other departments or individuals, for additional information or review

• Access payor system resources to research and correct claims or initiate a recoupment, when necessary

• Maintain current knowledge of contracts, fee schedules, policies and procedures relevant to the billing process

• Report all payor issues to Lead/Supervisor

• Other duties as assigned

Additional Job Requirements

• Regular scheduled attendance              

• Indicate the percentage of time spent traveling - 0%

Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position.  All employees must follow Air Methods’ employment practices and policies.

Supervisory Responsibilities

This position has no supervisory responsibilities.          

Qualifications

To perform this job successfully, an individual must be able to perform each essential function satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.

Education & Experience

• High school diploma or general education degree (GED); and one to two years’ related experience and/or training; or equivalent combination of education and experience.

• 1-2 years’ medical billing experience preferred

• Customer service experience preferred

• Knowledge of medical terminology, insurance billing and reimbursement.

Skills

• Strong written and verbal communications skills.

• Ability to apply mathematical concepts and calculations.

• Ability to multi-task efficiently, works in a fast paced environment on multiple projects, and has a strong attention for detail

Computer Skills

• Intermediate with Microsoft Office, including Word, Excel, and Outlook

Certificates, Licenses, Registrations

• None

Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)