CORP H&W/CREDIT BALANCE ANALYST - Remote

The Little Clinic - Nashville, TN

Full-time

Remote - Nashville, TN

Ambulatory Health Care Services

About the position

The Credit Balance Analyst position is a critical role within the revenue cycle management process, primarily focused on ensuring the accurate and timely processing of refunds. This position requires a thorough understanding of medical billing and collections, particularly in an outpatient setting. The analyst will work closely with the Department Supervisor to promote customer loyalty through effective management of account credit balances. The role demands a high level of integrity and adherence to the company's core values, including respect, honesty, and safety. In this role, the Credit Balance Analyst will be responsible for reviewing, correcting, and resolving all account credit balances. This includes identifying and researching accounts with credit balances, transferring credits when appropriate, and posting all un-posted and misapplied patient payments. The analyst will also handle patient and insurance refunds, ensuring compliance with corporate policies regarding escheat balances. Additionally, the analyst will send weekly refund reports to the supervisor for review and approval, post credit balance adjustments for all approved refunds, and balance all refund batches daily. The position requires excellent planning and organizational skills, with a strong attention to detail. The analyst must be self-motivated and capable of working independently as well as collaboratively within a team. Flexibility during times of change is essential, as is the ability to read and interpret Explanation of Benefits (EOBs). Knowledge of accounting principles and healthcare billing practices is crucial for success in this role, along with strong analytical and problem-solving capabilities. The Credit Balance Analyst will also be expected to evaluate processes within their area of responsibility and recommend improvements as necessary.

Responsibilities

• Identify, research, and review accounts with credit balances.
• Transfer credits when appropriate within a patient or guarantor account.
• Post all un-posted and misapplied patient payments.
• Review and resolve all patient/guarantor address issues.
• Initiate all patient and insurance refunds.
• Escheat balances according to corporate policy.
• Send weekly refund report to supervisor for review and approval.
• Post credit balance adjustments for all approved refunds.
• Meet production and quality expectations outlined by management.
• Balance all refund batches on a daily basis.
• Evaluate processes within area of responsibility to recommend and participate in process improvement initiatives.

Requirements

• High school diploma.
• 2+ years of experience in medical billing and collections in an outpatient setting.
• 2+ years of cash application experience.
• 2+ years of credit balance resolution experience.
• Strong computer skills with Microsoft Office Suite.
• Strong analytical and problem-solving capabilities.
• Excellent planning and organization skills with close attention to detail.
• Self-motivated, with ability to work independently and with a team.
• Ability to remain flexible during times of change and adjust promptly and effectively.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Knowledge and understanding of accounting principles and healthcare billing and collection practices.
• Working knowledge of revenue cycle management.
• Excellent mathematical aptitude and basic accounting skills.