Identify, analyze, and recover provider credit balance accounts for health insurance clients. Manage AR collections, validate patient accounts, build provider relationships, meet productivity and quality targets, and escalate issues to management.
At TREND Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.
Joining TREND Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.
The primary responsibility of the Credit Balance Analyst I is the identification, analysis and recovery of credit balance accounts at provider sites on behalf of our clients who are Health insurance companies. This individual ensures that all activities related to successfully and correctly analyzing accounts are completed in an accurate and timely manner. The responsibilities require this role to develop strong working relationships with provider staff by consistently producing quality results, demonstrating professionalism, and communicating constructively with all levels of provider staff.
Role and Responsibilities
- Assist providers in identifying, reviewing, and validating patient accounts in a credit balance state
- Manage accounts receivables to ensure timely collection of identified Client overpayments
- Prioritize workload to meet deadlines and goals using guidelines set out by manager
- Achieve individual productivity and quality standards
- Professionally and proactively build relationships and maintain contact with the appropriate personnel at Providers
- Respond to all provider and Client requests in a timely manner
- Escalate to manager any situation outside the employee’s control that could adversely impact the business relationship
- Always represent TREND and our clients in a professional manner
- Cooperate with team members to meet goals and complete tasks
Qualifications
- Experience in in Revenue Cycle – Patient Accounting preferred
- Excellent computer skills and proficient in Excel
- Strong analytical and problem-solving skills
- Strong communication and interpersonal skills, displaying the ability to connect and build relationships at all levels with providers, management, and peers
Preferred Skills
- Proactive, independent and results oriented
- Customer and team focused with a strong desire to be an active, long-term participant in the growth of the firm overall
MENTAL AND PHYSICAL DEMANDS
- This position will be exposed mainly to an indoor/office environment and will be expected to work in or around computers and printers.
- The nature of the work is sedentary, and the employee will be sitting most of the time.
- Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.
- Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.
RELATED DUTIES AS ASSIGNED
- This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
- Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information.
- Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.
Top Skills
Excel
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