Credit Balance Specialist - Healthcare Hospital Claims

Guidehouse•San Antonio, TX

1d•Hybrid

About The Position

The Credit Balance Specialist (Hospital Claims) will manage credit balance workloads and respond & follow-up on external and internal inquires in a timely manner. Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in office/remote) after training. We will consider individuals open to relocation to San Antonio! Timely and accurately resolves credit balances. Process internal and external refund requests. Identify trends and escalate where appropriate. Maintain accurate, clear, concise and complete account notes and other relevant information. Respond to requests for information and resolve accounting discrepancies. Resolves unidentified payments through research. Research and respond to all patient inquiries received by telephone and mail. Update patient demographic information and initiate account adjustments. Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

Requirements

High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED.
1-3+ years working within the following sectors: healthcare, insurance, business, finance or customer service.
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.

Nice To Haves

Credit balance experience within a hospital background
PC skills in a Windows environment.
Knowledge and utilization of desktop applications to include Word and Excel.
Ability to initiate and follow through on projects and work independently with minimal supervision.

Responsibilities

Timely and accurately resolves credit balances.
Process internal and external refund requests.
Identify trends and escalate where appropriate.
Maintain accurate, clear, concise and complete account notes and other relevant information.
Respond to requests for information and resolve accounting discrepancies.
Resolves unidentified payments through research.
Research and respond to all patient inquiries received by telephone and mail.
Update patient demographic information and initiate account adjustments.
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program