Healthcare Outcomes Performance Co. (HOPCo)

Credit Balances Analyst

Healthcare Outcomes Performance Co. (HOPCo)  •  Jacksonville, FL (Onsite)  •  5 hours ago
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Job Description

CREDIT BALANCE ANALYST

Full-Time | Remote

Jacksonville, FL (Corporate Location)

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to providing industry-leading, five-star orthopedic care while continuing to grow with the needs of our patients and communities.

At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our benefits include:

  • Competitive Health & Welfare Benefits
  • Monthly stipend toward ancillary benefits
  • HSA with qualifying HDHP plans + company match
  • 401(k) with company match after 6 months
  • 24/7 Employee Assistance Program
  • Employee Appreciation Days & Events
  • Paid Holidays & PTO
  • AND MORE!

We are currently seeking a Credit Balance Analyst to join our Central Business Office in Jacksonville, FL.

ABOUT THE ROLE

The Credit Balance Analyst is responsible for researching and resolving patient and insurance credit balances, identifying account discrepancies, and processing refund requests.

WHAT YOU'LL DO

  • Research and resolve patient and insurance credit balances.
  • Review accounts for posting, payment, and transfer errors.
  • Determine when an overpayment has occurred and initiate refunds.
  • Communicate with patients, insurance companies, providers, and internal teams regarding account issues.
  • Prepare refund requests and supporting documentation for Accounts Payable.
  • Review claims and payment activity for accuracy.
  • Identify account trends and discrepancies and communicate findings to management.
  • Maintain productivity, accuracy, and timely completion of assigned accounts.
  • Follow all CORE Institute and Business Office policies and procedures.

WHAT YOU'LL NEED

  • High School Diploma or equivalent required.
  • 2-3 years of medical billing experience required.
  • Experience with patient accounts, insurance billing, or payment posting preferred.
  • Knowledge of physician billing, ICD-10, and CPT coding.
  • Experience with GE Patient Management System preferred.
  • Proficiency with Microsoft Excel, Word, and Outlook.
  • Strong attention to detail and organizational skills.
  • Excellent communication and customer service skills.
  • Ability to analyze account information and work independently in a fast-paced environment.

WORK ENVIRONMENT

  • Normal business office environment.
  • Primarily sedentary work with occasional standing, bending, and stretching.
  • Regular use of computer, keyboard, and calculator.

ORGANIZATIONAL REQUIREMENTS

  • HOPCo Mission, Vision and Values must be read and signed.
  • OSHA Safety Training is required.
Healthcare Outcomes Performance Co. (HOPCo)

About Healthcare Outcomes Performance Co. (HOPCo)

Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management. This includes comprehensive management and optimization of specialties such as orthopedics, spine, hand, pain management, rehabilitation and neurology.

HOPCO’s integrated care and analytics platform has proven to increase the quality of patient care and program revenue while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike.

HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, capitated population health programs, and other risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and standardized care pathways. This helps our partners obtain real time, actionable insights into their systems, allowing them to comprehensively manage the entire business while improving outcomes for their treasured patients.

As a result, HOPCo has become the only organization with proven and sustainable success in population health management of musculoskeletal specialty care.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Phoenix, AZ
Year Founded
2000
Website
hopco.com
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