United Surgical Partners International, Inc
Hospital Credit Balance Specialist
United Surgical Partners International, Inc, Dallas, Texas, United States, 75215
Overview
Join to apply for the
Hospital Credit Balance Specialist
role at
United Surgical Partners International, Inc . Responsibilities
Manage daily work queues of credit balances for both onshore & offshore teams. Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances. Complete thorough review of patients’ accounts with credit balances to validate the patient overpayment is accurate. Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation. Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines. Process refunds accurately and in timely manner adhering to contract language where appropriate. Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims. Use critical and analytical problem-solving skills to resolve issues. Use strong organizational skills to effectively manage large amounts of detailed information. Utilize excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances. Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position. Other duties as assigned. Qualifications and Experience
High school graduate or equivalent. Must have the skills necessary to operate the office equipment required to fulfill job duties. Experience with Excel, Word, Outlook. Able to navigate through nThrive and Availity (preferred). Previous credit balance resolution experience in a facility or CBO environment. 2 years combined experience in CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals. Understanding of medical terminology. Basic understanding of credit and refund guidelines. Additional Notes: This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care
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Join to apply for the
Hospital Credit Balance Specialist
role at
United Surgical Partners International, Inc . Responsibilities
Manage daily work queues of credit balances for both onshore & offshore teams. Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances. Complete thorough review of patients’ accounts with credit balances to validate the patient overpayment is accurate. Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation. Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines. Process refunds accurately and in timely manner adhering to contract language where appropriate. Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims. Use critical and analytical problem-solving skills to resolve issues. Use strong organizational skills to effectively manage large amounts of detailed information. Utilize excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances. Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position. Other duties as assigned. Qualifications and Experience
High school graduate or equivalent. Must have the skills necessary to operate the office equipment required to fulfill job duties. Experience with Excel, Word, Outlook. Able to navigate through nThrive and Availity (preferred). Previous credit balance resolution experience in a facility or CBO environment. 2 years combined experience in CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals. Understanding of medical terminology. Basic understanding of credit and refund guidelines. Additional Notes: This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care
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