Credit Balance Representative

🔥 0 minutes ago

🌾 Iowa, North Dakota, +2 more states – Remote

🌾 Iowa – Remote 🌾 North Dakota – Remote ❄️ Minnesota – Remote 🗿 South Dakota – Remote

💵 $16 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• 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.

🎯 Requirements

• 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.