Credit Balances Analyst

Job Description

CREDIT BALANCE ANALYST

FULL-TIME JACKSONVILLE, FL MONDAY - FRIDAY BENEFITS

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

Competitive Health & Welfare Benefits

Monthly $43 stipend to use toward ancillary benefits

HSA with qualifying HDHP plans with company match

401k plan after 6 months of service with company match (Part-time employees included)

Employee Assistance Program available 24/7 to provide support

Employee Appreciation Days/Events

Paid Holidays & Paid Time Off

AND MORE!

As Southeast Orthopedic Specialists continues to grow, we are hiring a Credit Balance Analyst at our Central Business Office located in Jacksonville, FL! Please see below for the functions and requirements for this position:

GENERAL SUMMARY

The Credit Balance Analyst is responsible for facilitation of all credit balances for insurance and patient, reviewing accounts for posting and transfer errors, and processes all refund requests and forwards to Accounts Payable.

ESSENTIAL FUNCTIONS

Handles all patient communication regarding refunds.

Investigates and resolves reconciliation discrepancies for patient accounts.

Thoroughly researches credit balances to determine if an overpayment occurred and initiates the refund process accordingly outlining the reason for the refund and including EOB’s if necessary.

Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.

Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement from insurance payers.

Assumes full responsibility of reducing the accounts receivable of insurance and patient credit balances by working through outstanding accounts.

Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.

Identifies and communicates trends and/or potential issues to management team.

Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.

EDUCATION

Minimum High School Diploma or equivalent

EXPERIENCE

Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.

KNOWLEDGE

Knowledge of the physician billing processes, ICD-10 and CPT coding.

Knowledge of computer systems. Experience with GE patient management system preferred.

Advanced computer knowledge, including Window based programs.

SKILLS

Skill in customer service and an understanding of The CORE code of conduct and culture.

Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.

Skill in establishing good working relationships with both internal and external customers.

ABILITIES

Ability to multi task in a fast paced environment. Must be detailed oriented with strong organizational skills.

Ability to understand patient demographic information and determine insurance eligibility.

Ability to work independently and demonstrate the ability to analyze data.

ENVIRONMENTAL WORKING CONDITIONS

Normal clinic environment

PHYSICAL/MENTAL DEMANDS

Requires sitting and standing associated with a normal office environment.

Some bending and stretching required.

Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

HOPCo Mission, Vision and Values must be read and signed.

OSHA Requirements and training to include: *Safety Training

** This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. **

QUESTIONS? CONTACT