Credit Balance Specialist – Physician Healthcare Claims

Guidehouse is hiring a Credit Balance Specialist – Physician Healthcare Claims to manage credit balance workloads and respond to internal and external inquiries in a timely manner.

This position may be 100% virtual depending on the candidate’s geographic location. Candidates living within 50 miles of the Lewisville, Texas office will work a hybrid schedule consisting of two days in the office and three days from home.

What You Will Do

• Resolve credit balances accurately and in a timely manner.
• Process internal and external refund requests.
• Identify trends and escalate issues when appropriate.
• Maintain accurate, clear, concise, and complete account notes and other relevant information.
• Respond to requests for information.
• Resolve accounting discrepancies.
• Research and resolve unidentified payments.
• Research and respond to patient inquiries received by telephone and mail.
• Update patient demographic information.
• Initiate account adjustments.
• Work to resolve account balances to zero before accounts are forwarded to an outside collection agency.

What You Will Need

• High School Diploma or GED OR 3 years of relevant equivalent experience in lieu of a diploma/GED.
• 1-3+ years of experience working within healthcare, insurance, business, finance, or customer service.
• Working knowledge in one or more of the following areas:
– Insurance claims
– Billing
– Coding
– Follow-up
– Finance
– Accounting
– Customer service-related responsibilities

Preferred Qualifications

• Credit balance experience within a hospital environment.
• PC skills in a Windows environment.
• Knowledge and use of Microsoft Word and Excel.
• Ability to initiate and follow through on projects.
• Ability to work independently with minimal supervision.

Work Arrangement

• 100% virtual depending on geographic residence.
• Candidates living within 50 miles of Lewisville, Texas will work a hybrid schedule.
• Hybrid schedule consists of 2 days in the Lewisville office and 3 days working from home.
• No travel required.

Compensation

$38,000 – $64,000 per year.

Actual compensation is determined based on factors including skills, experience, training, security clearances, licensure, certifications, and other business and organizational needs.

Benefits

• Medical Insurance
• Prescription Drug Coverage
• Dental Insurance
• Vision Insurance
• Personal and Family Sick Time
• Company-Paid Holidays
• Potential Discretionary Variable Incentive Bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life Insurance
• Supplemental Life Insurance
• Health Savings Account
• Dental/Vision Flexible Spending Accounts
• Dependent Care Flexible Spending Account
• Short-Term Disability
• Long-Term Disability
• Tuition Reimbursement
• Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate-Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse provides consulting, digital, and managed services across commercial and public-sector industries. The company offers a comprehensive total rewards package and professional development opportunities.