Credit Balance Representative

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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: Sanford Business Center Building
Location: Sioux Falls, SD
Address: 2200 E Benson Rd, Sioux Falls, SD 57104, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40. 00
Salary Range: $16.00 - $25.50
Department Details
One on One training with a flexible schedule. Small team atmosphere.
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 pace 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 talent@sanfordhealth.org .
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-0175073
Job Function: Revenue Cycle
Featured: No