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CREDITS REMEDIATION SPECIALIST
Job Field: Legal Jobs
Location: Pasadena, CA
Salary: $Not stated
Location: Pasadena, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>A Kforce client is currently seeking a Credits Remediation Specialist in Pasadena, CA who can review HB and PB accounts and determine the appropriate action to take. The primary responsibilities for this role include the following: * Researches and follows up on all credit balance accounts for all lines of business. * Identifies and reconciles accounts to be escheated to the local, state and / or federal authority(s) to comply with regulatory requirements. * Reviews work queues to determine proper course of action for credit balance resolution by preparing or reversing adjustments, initiating refund requests, reversing charges and requesting transfers if applicable. * Analyzes explanation of benefits, attorney, insurance and other confidential documentation, including patient statements. * Escalates any identified trends to department analyst and / or supervisor. * Facilitates account resolution by corresponding with appropriate parties for resolution of credit accounts via telephone, email and / or US postal mail. * Distributes and undistributed funds as appropriate. * Identifies missing charges. *Analyzes credit balances and computations.
</tr>
<tr><td valign="top" width="450"><b>A Kforce client is currently seeking a Credits Remediation Specialist in Pasadena, CA who can review HB and PB accounts and determine the appropriate action to take. The primary responsibilities for this role include the following: * Researches and follows up on all credit balance accounts for all lines of business. * Identifies and reconciles accounts to be escheated to the local, state and / or federal authority(s) to comply with regulatory requirements. * Reviews work queues to determine proper course of action for credit balance resolution by preparing or reversing adjustments, initiating refund requests, reversing charges and requesting transfers if applicable. * Analyzes explanation of benefits, attorney, insurance and other confidential documentation, including patient statements. * Escalates any identified trends to department analyst and / or supervisor. * Facilitates account resolution by corresponding with appropriate parties for resolution of credit accounts via telephone, email and / or US postal mail. * Distributes and undistributed funds as appropriate. * Identifies missing charges. *Analyzes credit balances and computations.
KEY REQUIREMENTS:
Not stated
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