Hospital Credit Balance Resolution
Budget: ₹750 – ₹1,250 INR
I need a seasoned credit-balance professional who can step straight into our hospital’s revenue cycle workflow and clean up open credits with confidence. The priority is true credit balance resolution—researching each account, matching remits, identifying root causes of the surplus, and escalating or refunding exactly according to policy and payer contract.
Most of the accounts involve a mix of Private insurance, Medicare, and Medicaid, so you must already understand the differing refund, recoupment, and reporting rules those payers impose on hospitals. Accuracy is critical; every action you take must withstand potential audit review.
You will be working in a hospital environment (not a clinic or specialist office), collaborating virtually with our internal AR team to:
• Analyse the daily credit balance report and triage accounts by timely filing or audit risk.
• Reconcile payments and adjustments, correct any mis-postings, and secure approval for true refunds.
• Generate compliant refund packets with supporting EOBs, transaction history, and internal sign-offs.
• Post the final transactions so the patient ledger and the general ledger both zero out.
• Provide a concise weekly status summary that shows dollars cleared, dollars refunded, and any systemic issues you notice.
Acceptance criteria
1. Each cleared account must have a full audit trail, including your notes and attached documentation.
2. The ending credit‐balance report shows a dollar-for-dollar reduction matching your summary sheet.
3. No refund is processed without payer-specific proof of overpayment and internal approval.
If you have recent US hospital credit balance experience and can start quickly, let’s connect.
Most of the accounts involve a mix of Private insurance, Medicare, and Medicaid, so you must already understand the differing refund, recoupment, and reporting rules those payers impose on hospitals. Accuracy is critical; every action you take must withstand potential audit review.
You will be working in a hospital environment (not a clinic or specialist office), collaborating virtually with our internal AR team to:
• Analyse the daily credit balance report and triage accounts by timely filing or audit risk.
• Reconcile payments and adjustments, correct any mis-postings, and secure approval for true refunds.
• Generate compliant refund packets with supporting EOBs, transaction history, and internal sign-offs.
• Post the final transactions so the patient ledger and the general ledger both zero out.
• Provide a concise weekly status summary that shows dollars cleared, dollars refunded, and any systemic issues you notice.
Acceptance criteria
1. Each cleared account must have a full audit trail, including your notes and attached documentation.
2. The ending credit‐balance report shows a dollar-for-dollar reduction matching your summary sheet.
3. No refund is processed without payer-specific proof of overpayment and internal approval.
If you have recent US hospital credit balance experience and can start quickly, let’s connect.