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Credit Balance Representative | PFS Revenue

Employer
Sanford Health
Location
Fargo, North Dakota
Salary
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Industry
Healthcare
Role
Other
Job Type
Long-Term

Job Details


Sanford Health is one of the largest and fastest-growing not-for-profit health systems in 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.
See yourself at Sanford!

Facility: 45th St Business Center - PFS

Location: Fargo, ND

Shift: Varies

Job Schedule: Full time

Weekly Hours: 40.00

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.

Department Details

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.

Qualifications

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.
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 .

Job Function: Revenue Cycle

Req Number: R-13883

Featured: No

Company

Sanford Health is excited to be on a journey of tremendous growth and momentum. With our vast geography, cutting-edge medicine, sophisticated research, advanced education and our own health plan, we are unique in what we do and how we do it. Through relationships built on trust and successful performance and a vision to improve the human condition, Sanford seeks to make a significant impact on health and healing. With a commitment to diversity and inclusion, our journey as an organization includes continually building on the diverse talents, experiences and beliefs of our employees, as well as the patients and communities we serve. We are proud to be from the Midwest and to impact the world. We look forward to joining with you in the journey.

Company info
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