Credit Balance Specialist - Remote Opportunity at WVU Medicine

Role Overview

WVU Medicine is seeking a detail-oriented and dedicated Credit Balance Specialist to join our remote team. In this role, you will be responsible for the resolution of credit balances and processing of refunds, ensuring accuracy and compliance with established policies and procedures. You will work with Epic work queues, internal reports, and payer/patient requests to identify and resolve credit balances efficiently. This position requires excellent analytical, communication, and customer service skills, as well as a strong understanding of healthcare billing and reimbursement processes.

Day in the Life of a Credit Balance Specialist

As a Credit Balance Specialist, your day will involve a variety of tasks aimed at resolving credit balances and ensuring accurate financial records. Here’s a glimpse into a typical day:

• Reviewing and Resolving Credit Balances: You will start your day by accessing Epic work queues and internal credit balance reports to identify accounts with credit balances. This involves analyzing patient accounts, identifying the source of the credit, and determining the appropriate resolution.
• Processing Refunds: You will research and process refund requests, ensuring that all necessary documentation is accurate and complete. This includes verifying the validity of the refund, calculating the correct amount, and obtaining necessary approvals.
• Account Reconciliation: You will review entire guarantor records to identify accounts with open patient responsibilities across all facility locations. This involves transferring payments and adjustments as appropriate to reconcile accounts and ensure accurate billing.
• Data Analysis and Reporting: You will gather data and prepare statistics and reports on credit balance resolution activities. This information will be used to track performance, identify trends, and improve processes.
• Customer Service: You will provide excellent customer service to patients, visitors, and employees, addressing inquiries and resolving issues promptly and professionally. This may involve communicating with patients, insurance companies, and internal departments to gather information and resolve disputes.
• Collaboration and Communication: You will collaborate with supervisors, managers, and other team members to develop and implement strategies for improving credit balance resolution processes. You will also attend department meetings and participate in educational programs to stay up-to-date on industry trends and best practices.

Why Remote?

This position offers the flexibility of working remotely, allowing you to manage your work from the comfort of your home. This provides numerous benefits, including:

• Work-Life Balance: Remote work allows for a better integration of work and personal life, reducing commute time and providing more flexibility to manage personal responsibilities.
• Increased Productivity: Many remote workers find they are more productive in a quiet, distraction-free environment.
• Cost Savings: Working from home can reduce expenses related to commuting, meals, and professional attire.
• Geographic Flexibility: Remote positions allow you to live in a location that suits your lifestyle, without being tied to a specific office location.

Career Path

The Credit Balance Specialist role is an excellent starting point for a career in healthcare finance and revenue cycle management. With experience and additional training, you can advance to positions such as:

• Senior Credit Balance Specialist: Taking on more complex credit balance cases and providing guidance to junior team members.
• Revenue Cycle Analyst: Analyzing revenue cycle processes to identify areas for improvement and implementing strategies to optimize performance.
• Billing Manager: Overseeing the billing department, ensuring accurate and timely billing processes.
• Compliance Officer: Ensuring that the organization adheres to healthcare regulations and compliance standards.

Salary and Benefits

WVU Medicine offers a competitive salary and benefits package for the Credit Balance Specialist position. The estimated salary range for this role is $38,000 to $55,000 per year, depending on experience and qualifications. In addition to salary, WVU Medicine provides a comprehensive benefits package, including:

• Comprehensive health insurance (medical, dental, vision)
• Paid time off (PTO) for vacation, sick leave, and holidays
• Retirement plan with employer matching contributions
• Life insurance and disability coverage
• Flexible spending accounts (FSA) for healthcare and dependent care expenses
• Employee assistance program (EAP) for confidential counseling and support
• Tuition reimbursement or assistance for continuing education
• Professional development opportunities and training programs
• Wellness programs and resources to promote employee health
• Employee discounts on WVU Medicine services and products

WVU Medicine Culture

WVU Medicine is committed to providing exceptional healthcare services and fostering a positive and supportive work environment. Our core values include:

• Patient-Centered Care: Putting the needs of our patients first and providing compassionate, high-quality care.
• Teamwork: Collaborating with colleagues to achieve common goals and provide the best possible care.
• Innovation: Continuously seeking new and better ways to improve our services and processes.
• Integrity: Maintaining the highest ethical standards and acting with honesty and transparency.
• Respect: Treating everyone with dignity and respect, valuing diversity and inclusion.

How to Apply

To apply for the Credit Balance Specialist position, please click the "Apply" button located at the top of this page and complete the application in full. Be sure to include your resume, cover letter, and any other relevant documents. We look forward to reviewing your application!

Frequently Asked Questions (FAQ)

1. What are the minimum qualifications for this position?

   The minimum qualifications include a high school diploma or equivalent.

2. Is prior experience required?

   One year of experience in a healthcare setting is preferred.

3. What are the key responsibilities of a Credit Balance Specialist?

   Key responsibilities include resolving credit balances, processing refunds, reconciling accounts, and providing excellent customer service.

4. What skills are important for success in this role?

   Important skills include analytical skills, communication skills, customer service skills, and attention to detail.

5. Is this a remote position?

   Yes, this is a remote position.

6. What is the salary range for this position?

   The estimated salary range is $38,000 to $55,000 per year.

7. What benefits does WVU Medicine offer?

   WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plan, and more.

8. What is the work environment like?

   The work environment is typically a normal business office setting, with exposure to high stress and constant interruptions.

9. What opportunities for advancement are available?

   Opportunities for advancement include positions such as Senior Credit Balance Specialist, Revenue Cycle Analyst, and Billing Manager.

10. How do I apply for this position?

    To apply, click the "Apply" button located at the top of this page and complete the application in full.