Solaris Health

Solaris Health is a national healthcare platform to enhance access to specialty healthcare and improve patient outcomes.

Director, Credit Balance Resolution – Underpayment Detection

DirectorDirectorFull TimeRemoteTeam 1,001-5,000Since 2020H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

66 days ago

Salary

Not specified

Bachelor Degree10 yrs expEnglish

Job Description

• Responsible for the strategic oversight and operational leadership of the credit balance resolution and underpayment detection functions. • Manage a team of internal staff and external vendors dedicated to identifying, resolving, and preventing payer and patient credit balances. • Dispute inappropriate refund requests from payers and monitor takebacks for validity. • Ensure timely and accurate refund processing. • Design and implement processes to detect underpayments and develop actionable reporting. • Drive process improvements using data and technology. • Build and maintain processes to proactively detect payer underpayments including setting thresholds and exception reporting. • Develops and manages technology to supplement team activities and monitors results for efficiency.

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Finance, Accounting, or a related field required; Master’s degree preferred.
  • Minimum of 7–10 years of progressive experience in healthcare revenue cycle operations, with at least 3 years in a leadership role overseeing credit balance resolution and/or underpayment recovery.
  • Experience working with large EMRs/practice management systems and healthcare financial systems.
  • Experience managing vendor partnerships and technology-driven process improvements.

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life Insurance
  • Pet Insurance
  • Health savings account
  • Paid sick time
  • Paid time off
  • Paid holidays
  • Profit sharing
  • Retirement plan

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