Guidehouse
Team Lead - Credits - Physician Claims
Guidehouse, Lewisville, TX
Job Family:
PFS General
Travel Required:
None
Clearance Required:
None
What You Will Do:
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
This is a hybrid position if local to the Lewisville, TX area.
Questions regarding this position, you can reach out to Chris Rivera (Recruiting Manager) at [redacted].
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.
Client Responsibility:
What You Will Need:
What Would Be Nice To Have:
#IndeedSponsored
The annual salary range for this position is $65,900.00-$98,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
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:
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 [redacted] or via email at RecruitingA[redacted]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
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.
PFS General
Travel Required:
None
Clearance Required:
None
What You Will Do:
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
This is a hybrid position if local to the Lewisville, TX area.
Questions regarding this position, you can reach out to Chris Rivera (Recruiting Manager) at [redacted].
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 HS Diploma / GED
- 8+ years working knowledge can be of the following: credits, insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.
- Previous credit balance experience within a hospital or clinic background
What Would Be Nice To Have:
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
- Ability to initiate and follow through on projects and work independently with minimal supervision required.
#IndeedSponsored
The annual salary range for this position is $65,900.00-$98,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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 [redacted] or via email at RecruitingA[redacted]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
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.