
Supervisor, Credits
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Oversee the daily functions of the Refunds department.
• Supervise and provide training to designated staff members.
• Conduct performance evaluations and make recommendations regarding employment and disciplinary actions.
• Coordinate work assignments efficiently.
• Manage credit balance inventory and address patient and insurance refund requests within established turnaround times.
• Monitor trends and identify opportunities for enhancements, innovative solutions, and ongoing process improvements.
• Track, maintain, and oversee employee performance metrics.
• Ensure that quality audits are conducted in a timely and consistent manner.
• Engage with clients and Client Services teams by addressing inquiries and providing credit balance reports and updates on projects.
• Contribute to the development and delivery of employee training courses and materials.
• High School Diploma or equivalent qualification.
• Two (2) years of experience interpreting medical Explanation of Benefits (EOB) statements and managing credit balance/refund processes.
• One (1) year of experience in posting medical payments to billing.
• Preferred: Six (6) months of supervisory/management/leadership experience.
• Experience in processing electronic and manual payer EOBs, including understanding insurance allowable amounts, patient portions, denials, adjustments, and contractual allowances.
• Strong working knowledge of departmental roles and responsibilities.
• Excellent supervisory and management abilities.
• Strong oral, written, and interpersonal communication skills.
• Proficient in word processing, spreadsheets, databases, and presentation software.
• Strong mathematical skills, including whole numbers, fractions, percentages, and decimals.
• Extensive experience with Excel, particularly in using pivot tables and analyzing large datasets.
• Exceptional time management, critical thinking, and organizational skills.
• Ability to read, comprehend, and apply state and federal laws, regulations, and policies.
• Capacity to remain adaptable and work within a collaborative, fast-paced environment.
• Skill in communicating with diverse personalities in a tactful, mature, and professional manner.
• Ventra performance-based incentive plan.
• Discretionary incentive bonus according to company policies.
• Referral bonus for recommending a friend.
• Reasonable accommodations for qualified individuals with disabilities.
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