Director, Credit Balance Resolution – Underpayment Detection
Solaris Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- 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.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
credit balance resolutionunderpayment detectionrefund processingdata analysisprocess improvementexception reportingtechnology managementreporting developmenthealthcare revenue cycle operationsvendor management
Soft skills
strategic oversightoperational leadershipteam managementcommunicationproblem-solvinganalytical thinkingcollaborationdecision-makingprocess designefficiency monitoring
Certifications
Bachelor’s degreeMaster’s degree