Sanford Health Credit Balance Representative - PFS REVENUE in Sioux Falls, South Dakota
Job Title: Credit Balance Representative | PFS REVENUE | Multi-City
City: Sioux Falls
Department : PFS REVENUE
Job Schedule: Full Time
Hours Per Shift: 8 hr
This position will sit in Bismarck or Fargo, ND or Sioux Falls, SD.
Process refunds for third party insurance, Medicare, Medicaid or government-assisted programs and personal payments. Comply with all regulatory bodies and agencies. Review credit balances on accounts to resolve by correction, refund or inquiry and ensures compliance with internal and external customers via verbal and written communication. Must have excellent customer service skills to communicate with internal and external customers. Will be expected to use electronic billing. Must be accessible to other departments upon demand for inquiries regarding credit balances. Must demonstrate critical thinking skills to manage day to day basic operations or the ability to seek assistance when needed. Must be able to do work steadily, efficiently and show constant vigilance to the details of the work. Must be able to utilize all office equipment including personal computer and application software, printer, FAX, copier, multi-line telephone system. Must have good working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeal processes. Must have excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Must be able to use appropriate reference materials when needed. Should be able to multi-task when needed.
This position is responsible for issuing refunds to insurance, issuing inquiries, issuing refunds to patients, reviewing credit balances on accounts and resolving credit balances by correct adjustment.
Minimum of high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in medical billing preferred. Computer skills essential.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
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 1-877-243-1372 or send an email to firstname.lastname@example.org .
In compliance with federal law requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req17035