Credit Balance Analyst

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August 29

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Crossroads Health

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Healthcare Insurance • Finance • SaaS

Crossroads Health is a specialized service provider focused on credit balance resolution for healthcare providers. Their proprietary technology and team of experts aim to identify, resolve, and prevent credit balances, enhancing revenue cycle efficiency for their clients. Crossfire™, their credit balance resolution service, and Right Refund™, their digital patient refund solution, are designed to address the backlog and complexity of credit balances, prevent over-refunding, and minimize the risk of fines and penalties. Crossroads Health positions itself as a provider-aligned solution, prioritizing client interests over payer incentives, and offering in-depth root-cause analysis to prevent future credits.

51 - 200 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

📋 Description

• Resolve credit balance accounts: Analyzing contracts, pulling all relevant documentation, and making all necessary calls to payers, patients, etc. as needed while ensuring compliance with regulations, unclaimed property laws, patient refund policies and contractual obligations. • Quality Assurance: Reviews all work for accuracy, adhering to provider and Crossroads Health internal controls to ensure 100% accuracy. • Request records, proof of timely filing, and other documents from hospital clients. • Prepare adjustment requests and back up documentation for hospital clients. • Generate refund cover letters, UB's medical records, etc. as needed. • Assist clients with re-billing claims as needed for appeals. • Notate system of record thoroughly and accurately. • Other responsibilities as assigned.

🎯 Requirements

• High school diploma / GED (or higher) • Three (3) or more years of recent PFS experience. • High proficiency with computer and Windows PC applications • Understanding of medical terminology for billing and account resolution essential. • Ability to read, analyze, and interpret hospital medical bills, records, statutes, contracts and other relevant documents. • Experience with one or more EHR & supporting hospital systems, such as Epic, Cerner, Meditech, Athena, Paragon, ePremis, One Content, etc. • Experience with one or more of the following in a healthcare setting: credit balances, cash posting, pricing, claims review, or EOB review. • A focused, organized, and detail-oriented approach to work. • Excellent indirect and direct communication skills. • Ability to pass a thorough background check and drug screen. • Ability to perform critical work under deadlines. • Ability to work with minimal supervision. • Ability to work in a changing environment and handle multiple tasks. • Ability to travel occasionally (<10%), locally and nationally. • Bachelor's degree in a related field. • Certified Revenue Cycle Representative (CRCR). • Expert proficiency with Excel (pivot tables, etc.), InfoPath and Access. • Highly innovative individual, who is a bold decision maker, able to work in a dynamic and fast paced environment.

🏖️ Benefits

• Paid training • vacation • holidays • 401k • Medical • Vision • Dental