Credit Balance Analyst

October 20

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Crossroads Health

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Revenue Cycle Consulting • Credit Balance • Revenue Cycle • Patient Refunds

51 - 200 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

Description

• Resolve credit balance accounts by analyzing contracts and pulling relevant documentation. • Ensure compliance with regulations, unclaimed property laws, and patient refund policies. • Quality Assurance: Review all work for accuracy, adhering to provider and internal controls. • Prepare adjustment requests and generate refund cover letters as needed. • Assist clients with re-billing claims as needed for appeals.

Requirements

• High school diploma / GED (or higher). • Three (3) or more years of recent PFS experience. • Experience with one or more of the following: Credit balances, cash posting, pricing, claims review, or EOB review. • Experience with one or more EHR & supporting hospital systems, such as Epic, Cerner, Meditech, Paragon, ePremis, One Content, etc. • Ability to read, analyze, and interpret hospital/clinic medical bills, records, statutes, contracts, and other relevant documents. • Understanding of healthcare terminology for billing and account resolution is essential. • High proficiency with computer and Windows PC applications. • A focused, organized, and detail-oriented approach to work. • Excellent indirect and direct communication skills. • Ability to pass a thorough background check and drug screen. • Ability to perform critical work under deadlines. • Ability to work with minimal supervision. • Ability to work in a changing environment and handle multiple tasks. • Ability to travel occasionally (<10%), locally and nationally.

Benefits

• Benefits package including 401k, and Health, Vision, & Dental insurance. • Paid vacation, and paid holidays. • Plenty of growth opportunities for friendly, focused, results-driven people.