Credit Balance Analyst

October 20, 2024

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Crossroads Health

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Crossroads Health is a specialized service provider focused on credit balance resolution for healthcare providers. Their proprietary technology and team of experts aim to identify, resolve, and prevent credit balances, enhancing revenue cycle efficiency for their clients. Crossfire™, their credit balance resolution service, and Right Refund™, their digital patient refund solution, are designed to address the backlog and complexity of credit balances, prevent over-refunding, and minimize the risk of fines and penalties. Crossroads Health positions itself as a provider-aligned solution, prioritizing client interests over payer incentives, and offering in-depth root-cause analysis to prevent future credits.

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.