Credit Balances Analyst

Healthcare Outcomes Performance CompanyJacksonville, FloridaOn-siteFull-timeJunior, 1–2 yearsListed 4 days ago

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About this role

CREDIT BALANCE ANALYST

Full-Time | Remote
Jacksonville, FL (Corporate Location)

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to providing industry-leading, five-star orthopedic care while continuing to grow with the needs of our patients and communities.

At Southeast Orthopedic Specialists , we are dedicated to taking care of you so you can take care of business! Our benefits include:

- Competitive Health & Welfare Benefits

- Monthly stipend toward ancillary benefits

- HSA with qualifying HDHP plans + company match

- 401(k) with company match after 6 months

- 24/7 Employee Assistance Program

- Employee Appreciation Days & Events

- Paid Holidays & PTO

- AND MORE!

We are currently seeking a Credit Balance Analyst to join our Central Business Office in Jacksonville, FL.

ABOUT THE ROLE

The Credit Balance Analyst is responsible for researching and resolving patient and insurance credit balances , identifying account discrepancies, and processing refund requests.

WHAT YOU'LL DO

- Research and resolve patient and insurance credit balances.

- Review accounts for posting, payment, and transfer errors.

- Determine when an overpayment has occurred and initiate refunds.

- Communicate with patients, insurance companies, providers, and internal teams regarding account issues.

- Prepare refund requests and supporting documentation for Accounts Payable.

- Review claims and payment activity for accuracy.

- Identify account trends and discrepancies and communicate findings to management.

- Maintain productivity, accuracy, and timely completion of assigned accounts.

- Follow all CORE Institute and Business Office policies and procedures.

WHAT YOU'LL NEED

- High School Diploma or equivalent required.

- 2-3 years of medical billing experience required.

- Experience with patient accounts, insurance billing, or payment posting preferred.

- Knowledge of physician billing, ICD-10, and CPT coding.

- Experience with GE Patient Management System preferred.

- Proficiency with Microsoft Excel, Word, and Outlook.

- Strong attention to detail and organizational skills.

- Excellent communication and customer service skills.

- Ability to analyze account information and work independently in a fast-paced environment.

WORK ENVIRONMENT

- Normal business office environment.

- Primarily sedentary work with occasional standing, bending, and stretching.

- Regular use of computer, keyboard, and calculator.

ORGANIZATIONAL REQUIREMENTS

- HOPCo Mission, Vision and Values must be read and signed.

- OSHA Safety Training is required.