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Credit Specialist

Clinical Heath Network

CHN (Clinical Health Network for Transformation) supports Planned Parenthood affiliates across the United States in advancing high-quality, affordable care and health equity.

The Credit Specialist works within the Revenue Cycle team and reports to the Payment Posting Manager. This role is responsible for reviewing and resolving patient and payer credit balances, researching overpayments, preparing refund documentation, coordinating payment corrections and transfers, and ensuring accurate account notation in Epic.

Key responsibilities include managing daily work queues, reconciling accounts, following up on refund and offset requests, communicating with insurance companies and policyholders, and supporting workflow improvement efforts related to credit balance resolution.

Requirements & Qualifications

Minimum of 3 years of relevant accounts receivable experience

Strong understanding of coordination of benefits, payer policy, contract terms, and explanation of benefits

Experience researching account inquiries and analyzing payment methodology and accuracy

Strong analytical, problem-solving, and follow-up skills

Proficiency with Microsoft Office tools, especially Excel

Excellent written and verbal communication skills

Ability to work in a fast-paced environment with strong attention to detail and multitasking ability

Strong interpersonal skills and ability to collaborate with stakeholders at all levels

Preferred:

Experience with Epic, eCW, NextGen, or other practice management systems

Medical billing and coding certification

Benefits & Perks

Health care coverage including medical, dental, and vision

Flexible Spending Accounts and Health Savings Account

Short-Term Disability and Basic Life & AD&D Insurance provided by CHN

Optional Long-Term Disability and Additional Life & AD&D Insurance available at cost

Employee Assistance Program

Retirement plan with 3% employer match after one year of service

Paid Time Off program including accrual-based PTO, Health Time Off (HTO), and nine paid holidays

Location

N/A

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

3 weeks ago

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