(Remote) Credit Balance Representative

Harris Computer•Arlington, TN

7d•$18 - $25•Remote

About The Position

MEDHOST, a division of Harris, is seeking a Credit Balance Specialist to analyze credit balances, determine their causes, facilitate account resolution, and post refunds as needed. The role involves professional customer interaction and adherence to MEDTEAM best-practice methodologies. It is remote and open to candidates anywhere in the United States who are in the Central timezone. The representative reviews insurance and patient payments, interprets payor contracts, uses software and reports to identify credit balances, and determines appropriate refund actions. The role also supports accurate payment, refund, and adjustment posting; documents issues and trends; collaborates with other teams; and contributes to process improvement projects and workflows. The employee helps maintain applicable quality management and regulatory requirements, supports customers and training needs, and performs administrative and other assigned duties. MEDHOST is a healthcare information technology provider founded in 1984 and headquartered in Franklin, Tennessee. Its offerings include electronic health records, financial management systems, and patient engagement platforms. MEDHOST was acquired by N. Harris Computer Corporation in January 2024.

Requirements

Basic knowledge of business office terminology.
Ability to understand and interpret the reasons for patient-accounting credit balances and payor overpayments.
Knowledge of the full revenue cycle process.
Strong interpersonal skills and effective written and verbal communication.
Detail-oriented, organized, analytical, and able to multitask and function effectively under stress.
Ability to build supportive relationships with peers, clients, partners, and corporate executives.
Flexible, can-do attitude and ability to remain professional in high-pressure situations.
Ability to retain and protect confidential material.
Ability to prioritize customer issues and resolve or escalate them urgently.
At least 2 years of experience in reimbursement and/or accounts receivable, preferably in a hospital or hospital central billing office setting.
Ability to follow directions and perform work according to department standards when directions are not provided.
Computer skills in Microsoft Office applications, including Word, Excel, and PowerPoint.
AS400 knowledge.
Customer-service orientation.
High-speed internet access with a minimum 300 Mbps download speed and unlimited data.
Smartphone for a multi-factor authentication application.

Responsibilities

Analyze insurance and patient payments posted to patient accounts to determine the causes of credit balances.
Understand payor contract terms related to payments and refunds.
Use appropriate software and reporting to identify credit balances and determine refund actions.
Identify overpayments and request refunds from the appropriate party in accordance with hospital policies and procedures.
Process and post payments, refunds, and adjustments to support account accuracy and customer satisfaction.
Facilitate refund account resolution through attention to detail, problem-solving, and customer service.
Monitor and report trends to leadership and document cash-posting, credit-balance, and refunding issues.
Participate in and complete leadership-assigned projects to improve department operations.
Develop workflows that improve internal processes and efficiency.
Partner with other teams and team members to resolve outstanding items.
Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.
Perform applicable responsibilities listed in the QMS Procedure Crosswalk in the QMS Manual.
Enter and submit time accurately by departmental deadlines.
Book travel in accordance with company travel policy.
Recommend, maintain, and update department documentation.
Maintain documentation regarding customer interactions.
Provide training in areas of expertise and support training documents for clients as required.
Maintain in-depth knowledge of software core products and application and industry knowledge through self-study and training.
Attend and participate in team and departmental meetings.
Respond to email and phone communications in a timely manner.
Adhere to HIPAA privacy, security, and compliance requirements.
Assist the leadership team with recommended improvements.
Perform other duties as assigned.