Credit Balance Specialist/Payment Processor
Description
At SCP Health, what you do matters!
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- The amazing Revenue Cycle Services culture – we value people, process and technology
- Hybrid position: Work from home and office
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you’ll be doing:
The Payment Processor/Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
The Payment Processor/Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
- Working credit balance accounts, research accounts and determine, if any, reimbursement amounts
- Proactively resolve any refund request issues by seeking out and identifying payor trends
- Monitor and maintain a high level of productivity and quality of work; report daily on ETM inventory and prepare appeals relating to coding, provider enrollment, and payment processing issues
- Research all requests for refunds/payment posting research via ETM in a timely manner
- Verify accuracy of adjustments posted to the account prior to initiating a refund; including UCR guidelines
- Keep management informed of successes and problems
Who/What we are looking for:
- You have a High School Diploma or equivalent
- You have at least 3 years Accounts Receivable experience in the Healthcare industry
- You are tech savvy, with strong proficient Microsoft Excel skills
- You have previous athenaIDX/GE Centricity experience – a PLUS!
- You understand EOBs (Explanation of Benefits) and identify posting errors of payment and adjustments
- You have an understanding of primary, secondary and tertiary payor relations
- You have Healthcare experience that includes knowledge of filing appeals and demanding claims
- You are extremely detail oriented, organized and a self-starter capable of tracking deadlines and meeting goals
- You have strong analytical skills and problem-solving skills
SCP Health and its affiliated companies require all applicants for a non-clinical position to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health’s vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment. SCP Health will consider religious and/or medical/disability accommodation and other legally required exemption requests as required by applicable law.
To learn more about SCP Health, please visit:
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SCP Health is an Equal Opportunity Employer.
SCP Health is an Equal Opportunity Employer.
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