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Credit Balance Representative - Full Time

Sanford Health
Full-time
On-site
City of Westminster

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 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 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. 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, one of the largest health systems in the United States, is dedicated to the integrated delivery of health care, genomic medicine, senior care and services, global clinics, research and affordable insurance. Headquartered in Sioux Falls, South Dakota, the organization includes 44 hospitals, 1,400 physicians and more than 200 Good Samaritan Society senior care locations in 26 states and nine countries.

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