Credit Balance Specialist

2 weeks ago


Louisville, Tennessee, United States TeamHealth Full time

*This position offers the flexibility of remote work following a comprehensive on-site training period.*

TeamHealth is recognized as one of the "150 Great Places to Work in Healthcare" by Becker's Hospital Review and has consistently ranked as one of "The World's Most Admired Companies" by FORTUNE Magazine, along with being listed among America's 100 Most Trustworthy Companies by Forbes Magazine in recent years. As a prominent healthcare organization, TeamHealth is led by physicians and dedicated to patient care. We are expanding across the U.S. and are looking for dedicated professionals to contribute to our mission.

  • Opportunities for Career Advancement
  • Comprehensive Benefits (Medical/Dental/Vision/Life) effective the first of the month after 30 days of employment
  • 401K Plan (with discretionary matching funds available)
  • Generous Paid Time Off
  • Eight Paid Holidays annually
  • Quarterly Incentive Programs

POSITION SUMMARY:

This role involves managing patient billing accounts with credit balances, adjustments, recoups, and unidentified payments specifically for Anesthesia groups, while ensuring precision and productivity.

KEY RESPONSIBILITIES:

  • Evaluate and manage overpayments from guarantors, government payers, and commercial insurance for all groups to ascertain refund eligibility
  • Handle correspondence related to credit balances and manage the transfer of payment and research forms for canceled checks
  • Process invoices within the designated worklist, aiming to maintain an aging report of 30 days or less. This includes reviewing prior actions taken, documenting current actions, and summarizing outcomes
  • Compile necessary documentation to support refund requests
  • Communicate with insurance carriers and guarantors regarding credit balances, offsets, and unidentified payments as needed
  • Identify and report any error trends that may impact account processing
  • Investigate unidentified invoices and generate reports to determine the correct application of identified payments

REQUIREMENTS:

  • Must complete the on-site training period.
  • High School diploma or equivalent is required
  • Prior experience in medical billing is preferred
  • Strong organizational skills with a focus on accuracy
  • Able to work independently as well as collaboratively within a team
  • At least one year of experience in medical billing, along with excellent communication skills, the ability to meet deadlines, and proficiency in computer skills are essential


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