About the role
Job Family: Patient Account Representative, PFS Billing, PFS General Travel Required: None Clearance Required: None What You Will Do: The Credit Balance Specialist (Hospital Claims) will manage credit balance workloads of patients and respond/follow-up on external and internal inquires in a timely manner. This person should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially BUT an opportunity for some hybrid (in office/remote) schedules after training. We will consider individuals open to relocation to San Antonio! Additionally, the Credit Balance Specialist will: Research and resolve patient credit balance accounts resulting from overpayments, duplicate payments, financial assistance adjustments, or insurance reprocessing. Analyze overpayments, duplicate payments, coordination of
benefits (COB), retro eligibility, and contractual adjustment discrepancies. Collaborate with billing, cash posting, denial management, and patient access teams to resolve account discrepancies. Process patient refunds accurately and timely in accordance with client policies and regulatory
requirements. Communicate with patients regarding refund status, account balances, and payment discrepancies professionally and compassionately. Maintain accurate, clear, concise and complete account notes and other relevant information. Resolve unidentified payments through research. Aim to have patient accounts balance to zero prior to accounts being forwarded to an outside agency for collections. Assist with internal and external audits related to credit balance processes and refund activity. What You Will Need: High School Diploma / GED. 1+ years of working with credit balance accounts (refund, overpayment, underpayment, accounts resolution, etc.) Working knowledge of the following: health insurance claims, medical billing, medical coding, credit finance, accounting or customer service-related