(Remote) Credit Balance Representative

About the role

The Credit Balance Specialist at MEDHOST, a division of Harris, is responsible for analyzing credit balances, facilitating account resolution, and posting refunds as needed. This remote role is open to candidates in the Central timezone across the US.

Responsibilities

• Responsible for analyzing insurance and patient payments posted to patient accounts to determine causes of credit balances.
• Understands all aspects of payor contracts in terms of payments and refunds.
• Utilizes appropriate software and reporting to identify credit balances and determine action for refunding.
• Identifies overpayments and requests refunds to the appropriate party, ensuring compliance with hospital policies and procedures.
• Processes/post payments, refunds, and adjustments with the goal of account accuracy and customer satisfaction.
• Works to facilitate account resolution of refunds through attention to detail, problem-solving, and dedication to servicing customers.
• Maintains awareness of any trends identified and documents cash posting, credit balance, and refunding issues.
• Participates and completes special projects assigned by leadership to improve ongoing operations within the department.
• Develops workflows to improve internal processes and efficiency.
• Works in partnership with other teams and team members to resolve outstanding items.
• Maintains the effectiveness and implementation of the MEDHOST Quality Management System and meets applicable regulatory requirements as needed.
• Performs other duties as assigned.

Administrative Duties

• Accurately enters and submits time by the required departmental deadlines.
• Books travel in adherence to the company travel policy.
• Maintains and updates department documentation.
• Maintains documentation regarding customer interaction.
• Provides training in areas of expertise and supports for training documents necessary to assist clients as required.
• Maintains in-depth knowledge of software core products.
• Attends and participates in team and departmental meetings.
• Maintains application and industry knowledge through self-study and by attending training classes.
• Responds to email and phone communications timely.
• Safeguards and adheres to HIPAA Privacy and Security/Compliance requirements and responsibilities constantly.
• Assists the leadership team with recommended improvements.
• Performs other duties as assigned.

Requirements

• Basic knowledge of business office terminology.
• Proven ability to understand and interpret reasons for patient accounting credit balances, payor overpayments.
• Knowledge of the full revenue cycle process.
• Good interpersonal skills that include the ability to effectively communicate in both writing and verbally.
• Detail-oriented, functions effectively under stress, organized, ability to multi-task, and analytical skills required.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Able to remain professional under high-pressure situations.
• Able to retain and protect confidential material.
• Able to prioritize customer issues and escalate or solve with urgency.
• 2 years or more experience in reimbursement and/or accounts receivable setting; hospital or hospital central billing office setting.
• Able to follow directions and perform work according to department standards when no directions are given.
• Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned.
• AS400 knowledge.
• High-speed internet access (minimum 300 Mbps download speed) and unlimited data.
• Smartphone for Multi-Factor Authentication (MFA) application.

Qualifications

• Must be able to follow directions and perform work according to department standards when no directions are given.
• Must be able to prioritize customer issues and escalate or solve with urgency.

Skills

• Customer service oriented.

Benefits

Includes 3 weeks' vacation and 5 personal days, comprehensive medical, dental, and vision benefits starting from your first day of employment, employee stock ownership and RRSP/401k matching programs, lifestyle rewards, remote work, and more!

Pay

$18 - $25/hr

Schedule

Remote work