Credit Balance Representative

Sanford Health; Sioux Falls (SD); On-site; USD 10,000 - 60,000; Full time

Job summary

Sanford Health seeks an insurance and patient credit balance facilitator to enhance patient satisfaction and ensure compliance with regulations. In a supportive team environment, you will resolve credit balances, manage inquiries, and uphold productive standards. Preferred candidates should have a high school diploma and experience in medical billing.

Qualifications

• Experience in medical billing preferred.
• Accounts receivable experience preferred.
• Must meet standard productivity requirements to transition to home-based position.

Responsibilities

• Facilitate resolution of credit balances for patient satisfaction.
• Document and resolve outstanding credit balances.
• Provide assistance on inquiries about credit balances.

Skills

Attention to Detail

Problem Solving

Critical Thinking

Education

High school diploma or equivalent preferred

Job description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift: 8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours: 40

Salary Range: $16.00 - $25.50

Union Position: No

Department Details: Individual contributor role within an actively supportive team environment. Well-structured, comprehensive 1:1 training program.

Summary: Facilitate the resolution of insurance and patient credit balances to ensure patient satisfaction and compliance with federal or state regulations.

Job Description: Must have strong attention to detail and accuracy partnered with strong problem solving skills. Document and resolve outstanding unidentified credit balances. Receive incoming refund requests or correspondence and work to resolve and return credit balances to the appropriate entity. Identify trends in credit balances and work with supervisor to resolve overpayments. Review credit balances on accounts to resolve by correction, refund or inquiry. Work closely with both internal and external customers. Provide assistance to other departments on demand regarding inquiries on credit balances. Extensive use of electronic billing systems. Plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast-paced and ever changing environment. Must demonstrate critical thinking skills to manage day-to-day basic operations. Must be able to do work steadily, efficiently and show constant vigilance to the details of the work. Must have good working knowledge of all insurance and government rules regarding payment, credit procedures, claims submittal and appeal processes. Comply with all regulatory bodies and agencies. Must be able to use appropriate reference materials when needed. Clear understanding of the impact payment applications and refund/credit processing has on revenue cycle operations and financial performance.

Qualifications: High school diploma or equivalent preferred. Previous experience in medical billing preferred. Accounts receivable experience preferred. Must meet standard productivity requirements prior to moving to a home-based position; if meeting productivity requirements but with less than one year working in Sanford office, must have Director approval to move to a home-based position.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [e-mail].