Remote Director Credit Risk Management Jobs in Georgia

MEDHOST, a division of Harris; is seeking a Credit Balance Specialist who will analyze credit balances to determine their cause, facilitate account resolution, and post refunds as needed.

The position requires professional Customer interaction and adherence to MEDTEAM best practice methodologies.

This remote role welcomes candidates anywhere in the US in the Central timezone.

Wage:

$18 - $25/hr

What your impact will be:

• Responsible for analyzing insurance and patient payments posted to patient accounts to determine causes of credit balances.

• Understands all aspects of payor contracts in terms of payments and refunds.

• Utilizes appropriate software and reporting to identify credit balances and determine action for refunding.

• Identifies overpayments and requests refunds to the appropriate party assuring compliance with hospital policies and procedures.

• Process/post payments, refunds, and adjustments with the goal of account accuracy and customer satisfaction.

• Works to facilitate account resolution of refunds through attention to detail, problem solving and dedication servicing customers.

• Monitors and reports to leadership of any trends identified and documents cash posting/credit balance/refunding issues.

• Participates and completes special projects assigned by leadership to improve ongoing operations within the department.

• Develop workflows to improve internal process and efficiency.

• Works in partnership with other teams and team members to resolve outstanding items.

• Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed.

• Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.

• Performs other duties as assigned.

Administrative Duties

• Accurately enters and submits time by the required departmental deadlines.

• Books travel in adherence to the company travel policy.

• Recommends, maintains and updates department documentation.

• Maintains documentation regarding Customer interaction.

• Provide training in areas of expertise and support for training documents necessary to assist clients as required.

• Maintains in-depth knowledge of software core products.

• Attend and participate in team and departmental meetings.

• Maintain application & industry knowledge through self-study and by attending training classes.

• Responds to email and phone communications timely.

• Ensure that all HIPAA Privacy and Security/Compliance requirements and responsibilities are adhered to constantly.

• Assists the leadership team with recommended improvements.

• All other duties as assigned.

What we are looking for:

• Basic knowledge of business office terminology.

• Proven ability to understand and interpret reason for patient accounting credit balances, payor overpayments.

• Knowledge of the full revenue cycle process.

• Good interpersonal skills that include the ability to effectively communicate in both writing and verbally.

• Must be detail oriented, function effectively under stress, organized, ability to multi-task and analytical skills required.

• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.

• Must be flexible with a "can do" attitude and have the ability to remain professional under high pressure situations.

• Ability to retain and protect confidential material.

• Able to prioritize customer issues and escalate or solve with urgency.

• 2 years or more experience in reimbursement and/or accounts receivable setting; hospital or hospital central billing office setting.

• Must be able to follow directions and to perform work according to department standards when no directions are given.

• Computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) to complete work assigned and AS400 knowledge.

• Customer Service oriented.

• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.

• Smart phone for Multi Factor Authentication (MFA) application.

What we can offer:

• 3 weeks' vacation and 5 personal days

• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment

• Employee stock ownership and RRSP/401k matching programs

• Lifestyle rewards

• Remote work and more!

About MEDHOST:

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.

About Harris:

Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses.

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