(Remote) Credit Balance Representative

Posted 6 Days Ago
Be an Early Applicant
6 Locations
Remote
18-25 Hourly
Junior
Healthtech
The Role
Analyzes insurance and patient payment credit balances, identifies overpayments, facilitates account resolution, and processes refunds, payments, and adjustments. The role requires knowledge of payer contracts and the full revenue cycle, accurate documentation, customer communication, regulatory compliance, and collaboration with internal teams. It also supports workflow improvements, reporting, training, software use, and departmental projects while protecting confidential patient information and adhering to HIPAA and quality-management requirements.
Summary Generated by Built In

MEDHOST, a division of Harris; is seeking a Credit Balance Specialist who will analyze credit balances to determine their cause, facilitate account resolution, and post refunds as needed.

The position requires professional Customer interaction and adherence to MEDTEAM best practice methodologies.

This remote role welcomes candidates anywhere in the US in the Central timezone.

Wage:

$18 - $25/hr

What your impact will be:

  • Responsible for analyzing insurance and patient payments posted to patient accounts to determine causes of credit balances.
  • Understands all aspects of payor contracts in terms of payments and refunds.
  • Utilizes appropriate software and reporting to identify credit balances and determine action for refunding.
  • Identifies overpayments and requests refunds to the appropriate party assuring compliance with hospital policies and procedures.
  • Process/post payments, refunds, and adjustments with the goal of account accuracy and customer satisfaction.
  • Works to facilitate account resolution of refunds through attention to detail, problem solving and dedication servicing customers.
  • Monitors and reports to leadership of any trends identified and documents cash posting/credit balance/refunding issues.
  • Participates and completes special projects assigned by leadership to improve ongoing operations within the department.
  • Develop workflows to improve internal process and efficiency.
  • Works in partnership with other teams and team members to resolve outstanding items.
  • Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed.
  • Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
  • Performs other duties as assigned.

Administrative Duties

  • Accurately enters and submits time by the required departmental deadlines.
  • Books travel in adherence to the company travel policy.
  • Recommends, maintains and updates department documentation.
  • Maintains documentation regarding Customer interaction.
  • Provide training in areas of expertise and support for training documents necessary to assist clients as required.
  • Maintains in-depth knowledge of software core products.
  • Attend and participate in team and departmental meetings.
  • Maintain application & industry knowledge through self-study and by attending training classes.
  • Responds to email and phone communications timely.
  • Ensure that all HIPAA Privacy and Security/Compliance requirements and responsibilities are adhered to constantly.
  • Assists the leadership team with recommended improvements.
  • All other duties as assigned.

What we are looking for:

  • Basic knowledge of business office terminology.
  • Proven ability to understand and interpret reason for patient accounting credit balances, payor overpayments.
  • Knowledge of the full revenue cycle process.
  • Good interpersonal skills that include the ability to effectively communicate in both writing and verbally.
  • Must be detail oriented, function effectively under stress, organized, ability to multi-task and analytical skills required.
  • Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
  • Must be flexible with a "can do" attitude and have the ability to remain professional under high pressure situations.
  • Ability to retain and protect confidential material.
  • Able to prioritize customer issues and escalate or solve with urgency.
  • 2 years or more experience in reimbursement and/or accounts receivable setting; hospital or hospital central billing office setting.
  • Must be able to follow directions and to perform work according to department standards when no directions are given.
  • Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned and AS400 knowledge.
  • Customer Service oriented.
  • High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
  • Smart phone for Multi Factor Authentication (MFA) application.

What we can offer:

  • Plenty of opportunities to grow your career
  • Comprehensive medical, dental, vision, STD, LTD, FSA benefits
  • 3 weeks of vacation plus 5 personal days to recharge
  • Employee stock ownership and RRSP program
  • 401K and Life insurance benefits
  • A chance to give back through community involvement
  • Flexible work arrangements to suit your lifestyle

About MEDHOST:

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.

About Harris:

Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment – both in the people and products that we offer and making investments in acquiring new businesses.

#LI-remote

Skills Required

  • Basic knowledge of business office terminology
  • Ability to understand and interpret causes of patient accounting credit balances and payer overpayments
  • Knowledge of the full revenue cycle process
  • Effective written and verbal communication skills
  • Detail orientation, organization, multitasking, analytical ability, and ability to function under stress
  • Ability to build supportive relationships with peers, clients, partners, and executives
  • Professional, flexible, and solution-oriented approach in high-pressure situations
  • Ability to retain and protect confidential information
  • Ability to prioritize, resolve, or escalate customer issues with urgency
  • At least 2 years of experience in reimbursement and/or accounts receivable, preferably in a hospital or hospital central billing office
  • Ability to follow directions and perform work according to department standards independently
  • Computer proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint
  • AS400 knowledge
  • Customer-service orientation
  • High-speed internet with at least 300 Mbps download speed and unlimited data
  • Smartphone capable of supporting a multi-factor authentication application

Harris healthcare Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Harris healthcare and has not been reviewed or approved by Harris healthcare.

  • Leave & Time Off Breadth PTO and paid holidays are characterized as generous, with ample time off emphasized. This breadth of time-off options is highlighted alongside favorable impressions of vacation and sick leave.
  • Flexible Benefits Remote-work flexibility and trust to work from home are emphasized, indicating adaptable arrangements for many roles. Flexibility is positioned as a tangible part of the overall package.
  • Healthcare Strength Core coverage includes medical, dental, and vision, along with life and disability insurance and HSA/FSA options. Health plans are often characterized as good, contributing to a solid foundational offering.

Harris healthcare Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Niagara Falls, New York
185 Employees
Year Founded: 1993

What We Do

For over 25 years, Harris Healthcare has been rising to the challenge of bringing together the most innovative and sustainable solutions for today’s ever-changing healthcare environment, in order to improve patient care and safety. Each one of our solutions brings organizational efficiencies on its own. Powerful synergies are achieved when multiple solutions are implemented together. The Harris Healthcare portfolio includes the following solutions: ♦ HARRIS Flex - an enterprise-level EHR solution that improves patient safety and clinical workflows. It includes a full complement of applications integrated in one single database, provides solid clinical decision support to your clinicians and helps standardize care while enforcing protocols and best practices at any Healthcare Organization. HARRIS Flex conveys the digital solution’s flexibility and strength. Healthcare organizations are continuously faced with new challenges and situations and require flexible EHR’s that can be rapidly adapted to their evolving clinical practice. Contrary to other EHR solutions which are inflexible and where customizations require costly support from the vendor, HARRIS Flex gives you the freedom to "flex" your EHR as you need it entirely on your own. The enhanced HARRIS Flex solution comes with new functionality including: ♦Flex Telehealth which enables virtual visits directly from within the EHR/EPR, and ♦Flex Clinical Insight which facilitates extraction and analysis of your EHR/EPR data to improve your processes and outcomes. ♦ SynergyCheck – a proactive interface monitoring solution watching over Clinical, Financial and other interfaces 24/7 to ensure data is flowing between systems

Similar Jobs

Liberty Mutual Insurance Logo Liberty Mutual Insurance

Senior Casualty Claims Specialist, Attorney Represented - Central Time Zone

Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Remote or Hybrid
9 Locations
40000 Employees
61K-126K Annually

Wipfli Logo Wipfli

Senior Accountant

Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Remote or Hybrid
United States
2900 Employees
73K-98K Annually

Wipfli Logo Wipfli

Senior Specialist, Lead Support & Marketing Data

Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Remote or Hybrid
United States
2900 Employees
66K-89K Annually

Liberty Mutual Insurance Logo Liberty Mutual Insurance

Senior Claims Representative

Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Remote or Hybrid
6 Locations
40000 Employees
46K-84K Annually

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account