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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.
Project ID: 40565537
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9 freelancers are bidding on average ₹2,054 INR/hour for this job

Hi, I'm an ACCA qualified finance professional and FMVA certified analyst with 4+ years across FP&A, credit analysis, and reconciliation-heavy financial operations. I'm confident I can step into your credit balance cleanup and deliver work that holds up to audit scrutiny, because that standard is exactly how I've been trained to operate. I'm direct with clients, so I'll say plainly that my experience is in corporate finance rather than US hospital billing. What I offer is a rigorous analyst who will master your refund policies, payer contracts, and Medicare and Medicaid requirements from your documentation, follow them to the letter, and never process a refund without payer-specific proof and internal sign-off. I learn fast and I don't improvise where compliance is concerned. I'm available to start immediately. I'd welcome a trial batch of accounts so you can verify my accuracy firsthand before committing further. Regards, Ibad Ali, ACCA, FMVA
₹1,000 INR in 40 days
2.9
2.9

As an experienced Financial Analyst with a focus on commercial due diligence, I have developed a deep understanding of the complexities inherent in healthcare financial systems. Your specific project, revolving around Hospital Credit Balance Resolution, resonates with my core skill set and areas of expertise. I have worked extensively with both Payer and Provider systems, including Medicare and Medicaid, and am cognizant of the different refund methods or recoupments each imposing payer can enforce. This knowledge will be invaluable in providing a detailed audit trail while resolving the credit balance job you require. I leverage advanced financial models for accurate analysis and strategic decision making, aligned with payer-specific rules that safeguard organizations from potential audits whilst efficiently clearing the accounts. Moreover, I pride myself on being dependable and adaptable to various working environments; something needed when collaborating virtually with your internal team. By engaging me in this credit balance project, you are assured of not only timely deliverables devoid of errors but also a rigorous review that might identify any process improvement points for future enhancements.
₹1,250 INR in 40 days
3.0
3.0

Hi My name is Param Ramanan form Rockfort Global based out of Adelaide. Our experienced healthcare revenue cycle team is ready to support your hospital with accurate and compliant credit balance resolution. We have hands-on experience researching overpayments, reconciling payments and adjustments, resolving mis-postings, preparing audit-ready refund documentation, and processing refunds in accordance with Private Insurance, Medicare, and Medicaid guidelines. Our team understands hospital revenue cycle workflows, payer-specific requirements, and the importance of maintaining complete audit trails. We will collaborate closely with your AR team, provide detailed weekly status reports, and ensure every cleared account is fully documented and compliant. We can start immediately and are committed to delivering accurate, timely, and reliable results. Please google the name of our company or my name for more information. I request you to please connect with on the freelancer chat so we can discuss your needs further. Kind Regards Param Ramanan
₹1,735.27 INR in 40 days
1.5
1.5

Hi! I'd be glad to step into your credit-balance resolution workflow. Most professionals process refunds I trace root causes first. Every credit I resolve is backed by full documentation and payer-specific verification, so the account doesn't just zero out, it holds up under audit scrutiny with no gaps. With experience in hospital revenue cycle credit-balance resolution across Private insurance, Medicare, and Medicaid, I understand the differing refund, recoupment, and reporting rules each payer requires, and I work confidently reconciling payments, correcting mis-postings, and generating compliant refund packets. Within 24 hours, I'll begin triaging your daily credit balance report by timely filing and audit risk. By hour 48, you'll have an initial batch of reconciled accounts with full audit trails and a summary showing dollars cleared versus refunded. Want to hop on a quick call in the next 24-48 hours so I can review your current credit balance report and get started? Regards, Rameen Z.
₹9,000 INR in 40 days
0.0
0.0

With my extensive experience in accounting, financial analysis, and financial consulting, I am confident that I can quickly and effectively resolve your credit balance issues. My team and I have been handling complex financial tasks, including bookkeeping and accountancy for years. We have a deep understanding of management and internal audit processes which will be extremely beneficial in tackling the task at hand. Furthermore, our proficiency in Microsoft Office applications, especially Excel, will ensure efficient task management, data organisation, and generation of accurate reports for your records. As the adage goes,"If it's not on paper, it didn't happen." And trust me - having a full audit trail is not lost on us. Finally, our flexible approach to work makes us well-suited to collaborate seamlessly with your internal AR team. We're apt in communicating and working virtually and are dedicated to providing you with weekly detailed status updates- complete with the dollar figures cleared so far- as you've asked for. By meticulously matching our summaries with the final credit‐balance report we'll ensure strict adherence to your acceptance criteria. Allow us to bring our skills and passion for detail to your project!
₹1,500 INR in 40 days
0.0
0.0

Hello, I have 6+ years of experience in U.S. medical billing and coding, including hands-on experience with Athenahealth, CMS 1500, UB-04, ICD-10, CPT, and denial management. I specialize heavily in the exact hospital revenue cycle mechanics (UB-04), payment reconciliation, and multi-payer guidelines required for this project. Deep knowledge of Medicare, Medicaid, and Commercial coordination of benefits, including strict recoupment, reporting, and timely filing rules. Expert at assembling complete refund packets with matched EOBs, clear root-cause documentation, and absolute adherence to compliance standards. I can support your team with accurate claim handling, AR follow-up, denial resolution, and payment posting. I am CCS certified and familiar with U.S. payer guidelines. I would be happy to discuss how I can help with your project. Thank you.
₹1,000 INR in 40 days
0.0
0.0

I have 8 years of experience in Revenue Cycle Management (RCM), primarily in medical billing for outpatient and physician practice accounts. My experience includes claim submission, payment posting, denial management, AR follow-up, claim corrections, and ensuring timely reimbursements while maintaining high accuracy and productivity. I am also familiar with ICD-10, CPT, and HCPCS coding guidelines and work closely with coding-related processes to ensure clean claim submission. I am detail-oriented, quick to adapt to new workflows, and committed to meeting turnaround time and quality expectations. Speciality: Podiatry, Physical therapy, Mental health, Cardiologists. Technical Skills: EHR/EMR: Kareo, AdvancedMD, Athenahealth, Epic, ECW Clearinghouses: Availity, Office Ally, Change Healthcare Microsoft Excel, Word, Google Workspace Tools: Zoom, Slack, Trello, Microsoft Teams I am available to start within the next week and would be happy to discuss your requirements in more detail. I look forward to hearing from you. Best regards Muthukrishnan V
₹1,000 INR in 40 days
0.0
0.0

Hello, I’m interested in this opportunity and believe my experience aligns well with your requirements. I have over 7 years of experience in Finance, Accounting, Audit, and Revenue Cycle support, with expertise in payment reconciliation, account analysis, financial reporting, and resolving complex accounting discrepancies while maintaining accuracy and compliance. My experience includes: * Credit balance reconciliation and account analysis * Payment posting, remittance reconciliation, and refund processing * Medicare, Medicaid, and commercial insurance payment workflows * Audit-ready documentation and regulatory compliance * Financial reporting, account reconciliations, and process improvements I am highly detail-oriented and committed to delivering accurate, compliant, and timely results. I have attached my updated resume for your review and would welcome the opportunity to discuss how I can contribute to your team. Thank you for your time and consideration.
₹1,000 INR in 40 days
0.0
0.0

I have experiance with hospital billing as an AR and appeal writer ,also I am carrying 3+year experiance with great and reputed companies
₹1,000 INR in 40 days
0.0
0.0

India
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