Team Lead - Physician Credit Balance Specialist

Job Family:

PFS General

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Credit Balance Specialist Team Lead will manage credit balance workloads and respond and follow-up on external and internal inquires in a timely manner. 

• Be a Subject Matter Expert and remain current in all areas of designated project/client, including client host system, imaging systems, internal host systems and vendor systems.

• Help train new employees and facilitate project specific refresher training sessions.

• Provide continuing education for current employees.

• Reviews work product of team members for accuracy and client policy compliance; providing training and feedback as needed.

• Assists employees with their questions to ensure team / project performance goals are met.

• Audits patient accounts as requested.

• Works closely with supervisor to create applicable work lists.

• Assists in the implementation of standards and guidelines.

• Attends payor provider calls as needed documenting all meeting minutes.

• Provides timely feedback to the leadership team.

• Timely and accurately resolves credit balances.

• Process internal and external refund requests.

• Identify trends and escalate where appropriate.

• Maintain accurate, clear, concise and complete account notes and other relevant information.

• Respond to requests for information and resolve accounting discrepancies.

• Resolves unidentified payments through research.

• Post approved adjustments and transfers as applicable.

• Special Ad-hoc reports assigned by management.

Client Responsibility:

• Assists leadership with coordinating client projects.

• Research and respond to all patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED

• Eight years relevant experience

What Would Be Nice To Have:

• Credit balance experience within a hospital and clinic background

• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.

• Ability to initiate and follow through on projects and work independently with minimal supervision required.

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The annual salary range for this position is $57,000.00-$85,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

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