Team Lead - Physician Credit Balances

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Credit Balance Specialist Team Lead will manage credit balance workloads and respond and follow-up on external and internal inquires in a timely manner. 

• Be a Subject Matter Expert and remain current in all areas of designated project/client, including client host system, imaging systems, internal host systems and vendor systems.

• Help train new employees and facilitate project specific refresher training sessions.

• Provide continuing education for current employees.

• Reviews work product of team members for accuracy and client policy compliance; providing training and feedback as needed.

• Assists employees with their questions to ensure team / project performance goals are met.

• Audits patient accounts as requested.

• Works closely with supervisor to create applicable work lists.

• Assists in the implementation of standards and guidelines.

• Attends payor provider calls as needed documenting all meeting minutes.

• Provides timely feedback to the leadership team.

• Timely and accurately resolves credit balances.

• Process internal and external refund requests.

• Identify trends and escalate where appropriate.

• Maintain accurate, clear, concise and complete account notes and other relevant information.

• Respond to requests for information and resolve accounting discrepancies.

• Resolves unidentified payments through research.

• Post approved adjustments and transfers as applicable.

• Special Ad-hoc reports assigned by management.

Client Responsibility:

• Assists leadership with coordinating client projects.

• Research and respond to all patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.

What You Will Need:

• High School Diploma/GED or 3 years of relevant equivalent experience in lieu of diploma/GED

• Eight years relevant experience coming from healthcare, business and/or professional services.

What Would Be Nice To Have:

• Credit balance experience within a hospital and clinic background

• PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel.

• Ability to initiate and follow through on projects and work independently with minimal supervision.

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What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & 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 is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.