PB Insurance Credit Analyst

St. Joseph’s/Candler Health System; Savannah, Northern (GA, KY); Hybrid; USD 52,000 - 74,000; Full time

Job summary

St. Joseph’s/Candler Health System seeks an Insurance Credit Analyst to analyze and resolve insurance credit balances on patient accounts, including processing daily refunds and following up on related correspondence and offsets. The role also involves reviewing COB information and addressing trend factors behind questionable balances.

The position requires 3–5 years in hospital patient accounts with a preferred Bachelor’s degree in Business. No specific license is required.

Qualifications

• 3–5 years hospital patient accounts experience.
• Bachelor's degree in Business preferred.
• None required license or certification.

Responsibilities

• Analyze and resolve insurance credit balances on patient accounts.
• Process daily refunds and follow up on refund-related correspondence, take-backs, offsets, COB information.
• Identify underlying trends contributing to questionable credit balances and resolve them.

Skills

Credit analysis

Accounts reconciliation

Communication

Education

Bachelor's degree in Business

Job description

The PB Insurance Credit Analyst is responsible for analyzing and resolving insurance credit balances on patient accounts. Key duties include processing daily refunds and following up on accounts affected by refund request correspondence, take-backs, offsets, charge audits, and coordination of benefits (COB) information. Additionally, the analyst is tasked with assessing and resolving underlying trends that contribute to questionable credit balances.

Education

Bachelors of Business - Preferred

Experience

3-5 Years Hospital Patient Accounts - Required

License & Certification

None Required

Core Job Functions

• Uses available tools to identify credit balances. Analyzes accounts to determine the appropriate action to take.
• Maintains total credit balances at or below departmental goals. Maintains a high level of accuracy. Produces required, related reports. Documents accounts properly.
• Uses this knowledge to determine disposition of credit balance. Calls the insurance company on questionable accounts.