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    Credit Balance Specialist/Payment Processor - Dallas, United States - SCP Health

    SCP Health
    SCP Health Dallas, United States

    4 weeks ago

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    Description


    At SCP Health, what you do mattersAs 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.
    • 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:

    Join our social circle:
    • Check out our LinkedIn Page
    • Like us on Facebook
    • Follow us on Twitter
    SCP Health is an Equal Opportunity Employer.

    SCP Health is an Equal Opportunity Employer.

    INDJV
    #LI-MS1
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