Offer summary
Qualifications:
Strong analytical and problem-solving skills, Detail-oriented and organized individual.Key responsabilities:
- Resolve credit balances and refund requests
- Research accounts and process refunds timely
Match score not available
Priority access
Match score not available
Credit Balance Specialist
72% Flex
Remote:
Full Remote
Work from:
Texas (USA)
Job description
Your missions
Description
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Flexible schedules and work-from-home opportunities
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you’ll be doing:
The Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
The Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
- Proactively resolve any refund request issues by seeking out and identifying payor trends
- Working credit balance accounts as required
- Research accounts and work each refund request letter as a denial
- Monitor and maintain a high level of productivity and quality of work
- Keep management abreast of both successes and problems as they occur
- Research requests for refunds
- Verify refund is necessary prior to initiating a refund
- Verify accuracy of adjustments posted to the account prior to initiating a refund; including UCR guidelines
- Verify the accuracy of payments posted to the account prior to initiating a refund
- Print all backup documentation associated with refund
- Work all refunds in order specified by the Supervisor
- Make copies of all pertinent information for the refund to be mailed with the refund check
- Accurately and timely log refund batches on daily refund spreadsheet
- Meet or exceed daily production goals as set by the Management
- Maintain published quality standards on QA audits
- Any other duties deemed necessary
Who/What we are looking for:
- Understand payer EOBs and identify posting errors of payments and adjustments.
- Must be extremely detail oriented, organized and a self starter capable of tracking to deadlines and meeting goals.
- Ability to work autonomously and as a team member, with little supervision required once a goal is assigned.
- Excellent verbal and written communications skills.
- Strong analytical and problem-solving skills
- Strong desktop PC skills in MS Excel
- Ability to work well in a team environment
- Understanding of primary/secondary/tertiary payor relations
- Computer Application Skills: Word, Excel, Windows, & Outlook
To learn more about SCP Health, please visit:
www.scp-health.com
www.scp-health.com
Join our social circle:
SCP Health is an Equal Opportunity Employer.
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#LI-SC1
INDJV
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Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory. Soft Skills
- Interpersonal Skills
- Proactive Mindset
- Detail-Oriented
- Organizational Skills
- Self-Starter
- Autonomous Working
- Analytical Thinking
- Problem Solving
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