Credit Balance Specialist - Healthcare Hospital Claims
Guidehouse, San Antonio, TX, United States
Credit Balance Specialist (Hospital Claims)
The Credit Balance Specialist (Hospital Claims) will manage credit balance workloads and respond & follow-up on external and internal inquires in a timely manner.
Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in office/remote) after training.
We will consider individuals open to relocation to San Antonio!
What You Will Do:
Timely and accurately resolves credit balances.
Process internal and external refund requests.
Identify trends and escalate where appropriate.
Maintain accurate, clear, concise and complete account notes and other relevant information.
Respond to requests for information and resolve accounting discrepancies.
Resolves unidentified payments through research.
Research and respond to all patient inquiries received by telephone and mail.
Update patient demographic information and initiate account adjustments.
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.
What You Will Need:
High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED.
1-3+ years working within the following sectors: healthcare, insurance, business, finance or customer service.
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.
What Would Be Nice To Have:
Credit balance experience within a hospital background
PC skills in a Windows environment.
Knowledge and utilization of desktop applications to include Word and Excel.
Ability to initiate and follow through on projects and work independently with minimal supervision.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
The Credit Balance Specialist (Hospital Claims) will manage credit balance workloads and respond & follow-up on external and internal inquires in a timely manner.
Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in office/remote) after training.
We will consider individuals open to relocation to San Antonio!
What You Will Do:
Timely and accurately resolves credit balances.
Process internal and external refund requests.
Identify trends and escalate where appropriate.
Maintain accurate, clear, concise and complete account notes and other relevant information.
Respond to requests for information and resolve accounting discrepancies.
Resolves unidentified payments through research.
Research and respond to all patient inquiries received by telephone and mail.
Update patient demographic information and initiate account adjustments.
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.
What You Will Need:
High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED.
1-3+ years working within the following sectors: healthcare, insurance, business, finance or customer service.
Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.
What Would Be Nice To Have:
Credit balance experience within a hospital background
PC skills in a Windows environment.
Knowledge and utilization of desktop applications to include Word and Excel.
Ability to initiate and follow through on projects and work independently with minimal supervision.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.