Credit Balance Representative

Good Samaritan Society; South Dakota; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization seeks a Revenue Cycle professional for a remote position in South Dakota. This role involves resolving credit balances related to insurance and patient accounts, ensuring compliance with regulations while maintaining high productivity standards. Candidates should possess strong attention to detail and problem-solving skills, with prior medical billing experience preferred. A comprehensive benefits package is offered for qualifying employees.

Benefits

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) retirement plan

Generous time off package

Work/life balance benefits

Qualifications

• High school diploma or equivalent preferred.
• Previous experience in medical billing and accounts receivable preferred.
• Must meet standard productivity requirements before moving to a home-based position.

Responsibilities

• Facilitate resolution of insurance and patient credit balances, ensuring compliance.
• Identify trends in credit balances and document resolutions.
• Work closely with internal and external customers to resolve inquiries.

Skills

Attention to detail

Problem solving

Critical thinking

Education

High school diploma or equivalent

Job description

Careers With Purpose

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.

Facility: Remote SD (Central Time)
Location: Remote, SD
Address:
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 - $25.50

Department Details

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

Job Summary

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

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

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] .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0221929
Job Function: Revenue Cycle
Featured: No