Credit Balance Specialist

Insight Global; Orlando (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Insight Global in Orlando, FL seeks a Credit Balance Resolution Analyst to resolve credit balance issues across multiple facilities. You will review data and determine corrective actions, including refunds, transfers, and adjustments.

The role requires 2+ years in hospital credit balance, Epic experience, and a HS diploma. You will reconcile refunds, coordinate with Patient Accounting, verify insurance, and report trends to management.

Qualifications

• 2+ years of Hospital Credit Balance experience.
• Epic Experience.
• HS Diploma.

Responsibilities

• Determine payment correctness and actions needed (refund, transfer, adjustment).
• Review guarantor records to identify accounts across locations and transfer payments as appropriate.
• Import refunds and transfers into the Patient Accounting system daily.
• Apply credit balance reconciliations per federal/state/local guidelines.
• Coordinate with Patient Accounting for proper information during resolution.
• Verify and update insurance to ensure correct contractual adjustment.
• Accurately use the computer system to enter information.
• Reconcile refund entries on patient accounts to AP checks and obtain proper authorization.

Skills

Hospital Credit Balance

Epic

Education

HS Diploma

Job description

Job Description

The Credit Balance Resolution Analyst focuses on resolving credit balance issues. The Credit Balance Resolution Analyst reviews data to determine the corrective action needed and submits appropriate documentation to bring the account to resolution. Essential Functions Determines if the payments received are correct and then determines the appropriate steps for resolution, including (but not limited to) refund payment, transfer, and adjustment. Review entire guarantor record to identify accounts across all facility locations with open patient responsibilities and transfers patient payments when appropriate. Key and/or import refunds and payment transfers accurately into the designated Patient Accounting system daily. Apply credit balance reconciliation changes and updates according to any internal or regulatory guidelines at the federal, state, and local levels. Coordinate and collaborate with Patient Accounting areas for proper information and communication when resolving credit balances. Verify and update insurance when necessary to assure correct contractual adjustment is applied. Effectively and accurately utilize the computer system to enter appropriate information. Reconcile refund entries on patient accounts to A/P checks processed; correct any errors and obtain proper authorization for any refund processed. Report trends and issues identified during account analysis to management for additional review and resolution; including those relating to payment posting, billing, payer reimbursement, and compliance. Maintain necessary logs and monthly performance standards to assure department goals are met. Maintain reasonably regular, punctual attendance consistent with policies, the ADA, FMLA and other federal, state and local standards. Maintain compliance with all policies and procedure

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [e-mail] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

• 2+ years of Hospital Credit Balance experience
• Epic Experience
• HS Diploma