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
Flexible schedules and work-from-home opportunities
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 Credit Balance Specialist promotes a patient-centric environmental approach in appropriately resolving credit balances and requests for refunds.
Proactively resolve any refund request issues by seeking out and identifying payor trends
Working credit balance accounts as required
Research accounts and work each refund request letter as a denial
Monitor and maintain a high level of productivity and quality of work
Keep management abreast of both successes and problems as they occur
Research requests for refunds
Verify refund is necessary prior to initiating a refund
Verify accuracy of adjustments posted to the account prior to initiating a refund; including UCR guidelines
Verify the accuracy of payments posted to the account prior to initiating a refund
Print all backup documentation associated with refund
Work all refunds in order specified by the Supervisor
Make copies of all pertinent information for the refund to be mailed with the refund check
Accurately and timely log refund batches on daily refund spreadsheet
Meet or exceed daily production goals as set by the Management
Maintain published quality standards on QA audits
Any other duties deemed necessary
Who/What We Are Looking For
Understand payer EOBs and identify posting errors of payments and adjustments.
Must be extremely detail oriented, organized and a self starter capable of tracking to deadlines and meeting goals.
Ability to work autonomously and as a team member, with little supervision required once a goal is assigned.
Excellent verbal and written communications skills.
Strong analytical and problem-solving skills
Strong desktop PC skills in MS Excel
Ability to work well in a team environment
Understanding of primary/secondary/tertiary payor relations
Computer Application Skills: Word, Excel, Windows, & Outlook
To Learn More About SCP Health, Please Visit
www.scp-health.com
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SCP Health is an Equal Opportunity Employer.
INDJV
Seniority level
Entry level
Employment type
Full-time
Job function
Finance and Sales
Industries
Hospitals and Health Care
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