Credit Balance Analyst: Medical Billing & Refunds

Southeast Orthopedic Specialists, LLC; Jacksonville (FL); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Stipend toward ancillary benefits

HSA with company match

401(k) with company match

EAP

Employee Appreciation Days & Events

Paid Holidays & PTO

And more!

Job summary

Southeast Orthopedic Specialists is seeking a Credit Balance Analyst to join our Central Business Office in Jacksonville, FL. The role focuses on researching and resolving patient and insurance credit balances, identifying discrepancies, and processing refunds.

Ideal candidates will have 2-3 years of medical billing experience, knowledge of ICD-10/CPT coding, and proficiency with Excel. This on-site position offers benefits and a collaborative work environment at a regional orthopedic leader.

Qualifications

• 2-3 years of medical billing experience required.
• Knowledge of physician billing, ICD-10, and CPT coding.
• Experience with GE Patient Management System preferred.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service skills.

Responsibilities

• Research and resolve patient and insurance credit balances.
• Review accounts for posting, payment, and transfer errors.
• Determine when an overpayment has occurred and initiate refunds.
• Communicate with patients, insurance companies, providers, and internal teams regarding account issues.
• Prepare refund requests and supporting documentation for Accounts Payable.
• Review claims and payment activity for accuracy.
• Identify account trends and discrepancies and communicate findings to management.
• Maintain productivity, accuracy, and timely completion of assigned accounts.

Skills

Medical billing

Account analysis

Communication

Excel

Billing software

Education

High School Diploma or equivalent

Tools

GE Patient Management System

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to providing industry-leading, five-star orthopedic care while continuing to grow with the needs of our patients and communities.

At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our benefits include:

Competitive Health & Welfare Benefits

Monthly stipend toward ancillary benefits

HSA with qualifying HDHP plans + company match

401(k) with company match after 6 months

24/7 Employee Assistance Program

Employee Appreciation Days & Events

Paid Holidays & PTO

AND MORE!

We are currently seeking a Credit Balance Analyst to join our Central Business Office in Jacksonville, FL.

ABOUT THE ROLE

The Credit Balance Analyst is responsible for researching and resolving patient and insurance credit balances, identifying account discrepancies, and processing refund requests.

WHAT YOU'LL DO

Research and resolve patient and insurance credit balances.

Review accounts for posting, payment, and transfer errors.

Determine when an overpayment has occurred and initiate refunds.

Communicate with patients, insurance companies, providers, and internal teams regarding account issues.

Prepare refund requests and supporting documentation for Accounts Payable.

Review claims and payment activity for accuracy.

Identify account trends and discrepancies and communicate findings to management.

Maintain productivity, accuracy, and timely completion of assigned accounts.

Follow all CORE Institute and Business Office policies and procedures.

WHAT YOU'LL NEED

High School Diploma or equivalent required.

2-3 years of medical billing experience required.

Experience with patient accounts, insurance billing, or payment posting preferred.

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

Experience with GE Patient Management System preferred.

Proficiency with Microsoft Excel, Word, and Outlook.

Strong attention to detail and organizational skills.

Excellent communication and customer service skills.

Ability to analyze account information and work independently in a fast-paced environment.

WORK ENVIRONMENT

Normal business office environment.

Primarily sedentary work with occasional standing, bending, and stretching.

Regular use of computer, keyboard, and calculator.

ORGANIZATIONAL REQUIREMENTS

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

OSHA Safety Training is required.

Qualifications

Education

Required

High School or better.

Equal Opportunity Employer
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