Credit Balance Analyst I

🕒 Maio 29

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Trend Health Partners

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2018

⚕️ Seguro de Saúde

💳 Fintech

🤖 Inteligência Artificial

💰 Private Equity Round em 2023-01

Healthcare Insurance • Fintech • Artificial Intelligence

<Trend Health Partners> é uma empresa de tecnologia em saúde (healthtech) que oferece uma plataforma de colaboração com IA para aprimorar as interações financeiras entre operadoras e prestadores. A companhia disponibiliza soluções de integridade de pagamentos (Payment Integrity), gestão de glosas e resolução de saldos credores/pagamentos em excesso por meio de sua plataforma TREND Connect e de ferramentas como o CAVO®, posicionando-se como um parceiro independente e neutro que ajuda hospitais e operadoras de planos de saúde a reduzir custos, melhorar a acurácia dos pagamentos e agilizar a resolução de contas e glosas.

Descrição

• Reviewing and resolving healthcare credit balance accounts on behalf of health insurance clients • Analyzing the root cause of account balances • Partnering with provider staff to ensure accurate and complete resolution, whether through refunds, adjustments, or other action • Confirming account details and financial transactions in assigned Provider patient accounting system and other supporting applications • Completing detailed analysis to execute accurate, appropriate actions to ensure full resolution, including refunds or adjustments • Responding to external and internal follow-up requests in a timely manner • Managing accounts receivable to obtain closure on identified Client overpayments by supplying required supporting documents and detailed follow-up notes • Communicating effectively with internal teams and leadership to address questions and move accounts forward • Identifying and escalating complex issues or trends that may impact resolution • Maintaining a high level of accuracy while working in a fast-paced, performance-driven environment

🎯 Requisitos

• Exposure to healthcare, insurance, or revenue cycle (coursework, internship, or patient accounting work experience preferred) • Excellent computer skills, including proficiency in Microsoft Office Suite, especially Excel • Strong analytical and problem-solving skills with the ability to review detailed information and identify discrepancies • Clear and professional written and verbal communication skills • Strong attention to detail and organizational skills with the ability to manage multiple priorities and review large amounts of data • Ability to work effectively in a remote environment with a reliable workspace and minimal distractions

🏖️ Benefícios

• competitive salaries • highly valued health insurance • 401(k) plan with employer match • paid parental leave • more