Mgr, Credit Balance Resolutions

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

The Manager, Credit Balance Resolutions oversees credit balance management and day to day refund processes, working collaboratively with both onshore teams and offshore partners to ensure efficiency, accuracy, and the timely resolution of outstanding credit balances. Additionally, the manager provides leadership and helps to drive process improvements, manage key performance indicators (KPIs), and builds relationships with field offices to reduce credit balances and enhance overall financial performance

Responsibilities

• Oversees the Credit Balance Resolution process driving continuous process improvement of upstream and downstream processes.
• Develop, track, and manage KPIs related to credit balance reduction, refund processing, and overall financial performance.
• Partner with regional field offices to ensure that credit balances are managed effectively, communicating issues and implementing resolutions.
• Lead and mentor both onshore and Business Processing Outsourcing (BPO) teams to ensure proper execution of credit balance tasks and improve team performance.
• Create detailed reporting and analytics on credit balances, refund trends, and process performances with the use of data analysis tools and techniques to transform raw data into valuable insights.
• Researches and identifies issues and problems contributing to credit balances. Continuously identify opportunities to streamline and improve the credit balance and refund processes to reduce inefficiencies, errors, and delays.
• Partner with Quality Assurance team to ensure adherence to company policies, industry standards, and relevant regulations related to credit balances and refunds
• Work closely with other departments to resolve complex credit balance issues and align with overall organization revenue cycle efforts.
• Other duties and responsibilities as assigned.

Required

• Bachelor's degree in related field of study from an accredited college, university or technical school. In lieu of degree, 5+ years of experience in collections and revenue cycle.
• 6+ years of professional experience in collections and revenue cycles.
• 2+ years of professional experience leading, mentoring and coaching a team.
• Proficient with MS Office tools, highly proficient in Microsoft Excel.

Preferred

• Working knowledge of the dental industry business in operational areas specifically within a Dental Support Organization (DSO), especially in Collections and transactional functions.
• Familiarity with industry regulations, including HIPAA and healthcare reimbursement practices.
• Strong project management skills and the ability to lead cross-functional initiatives.
• Experienced with practice management systems or ERP software.
• Experienced with SQL, PowerBi and other tools to provide detailed reporting and analytics.

Knowledge/Skills/Abilities

• Ability to manage multiple projects concurrently; superior project management skills.
• Self-motivated, reliable individual capable of working independently as well as part of a team.
• Ability to create and deliver formalized training and Leadership Development programs.
• Organized, detail-oriented individual able to work in a fast-paced environment.
• Ability to multi-task effectively without compromising work quality.
• Demonstrated excellent interpersonal, verbal and written communication skills to build and maintain relationships with internal teams, field offices, and external stakeholders.
• Demonstrated track record of driving results in reducing credit balances and improving refund processing timelines.
• Ability to read, analyze, and interpret common financial reports, and legal documents.
• Ability to respond to common inquiries from customers, staff, regulatory agencies, vendors, and other members of the business community.
• Strong problem resolution and analytical skills, with a systems-thinking approach to process improvements and operational efficiency.
• Ability to draw valid conclusions; apply sound judgment and make decisions under pressure.
• Ability to direct the work of others and work as a team leader in attainment of goals.
• Ability to interpret and apply policies and procedures.
• Ability to handle complex and sensitive confidential situations, working effectively to resolve issues with patients, payers, field offices, team member records and compensation.
• Maintain an appropriate professional appearance and demeanor in accordance with Company policies.
• Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies.

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Compensation Information

$84,000.00-$106,000.00 / Annually
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.