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Sanford Health Credit Balance Representative - PFS Revenue in Sioux Falls, South Dakota

Job Title: Credit Balance Representative | PFS Revenue | Multi-City

City: Multi-City

State: Multi-State

Department : PFS Revenue

Job Schedule: Full Time

Shift: Varies

Hours Per Shift: 8 hr


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.


Maintains composure under pressure. Adjusts to new or changing assignments, processes, people, and priorities as business need dictates. Comply with federal, state, and company policies, procedures, and regulations. Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes. Exhibits a personal standard of excellence marked by honesty and integrity. Uses finance and accounting systems, procedures and practices. Speaks/writes using correct language, mechanics, and gestures. Recognizes, clarifies, and prioritizes concerns. Utilizes specific approaches and tools for checking and cross-checking outputs. Works with financial transactions and related documentation within the organization.


The hours for this position are Monday through Friday between the hours of 7 a.m. and 6 p.m. No weekends or holidays. This position can sit in Fargo, ND or Sioux Falls, SD.


High school diploma required. 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.

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 1-877-673-0854 or send an email to .

City: Multi-City

State: Multi-State

Job Function: Revenue Cycle

Job Schedule: Full Time

Shift: Varies

Req Number: WD04575