Credit Balance Analyst
US-ID-Meridian
careers
Req #: 101131
Type: Full-Time
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Overview: At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. What You Can Expect: Under limited supervision, the Credit Balance Analyst, performs professional level analysis to review, research and resolve credit balances on customer accounts to ensure accurate account balances and processes approved requests for refunds. * Applies knowledge related to interpreting explanation of benefits and regulations concerning coordination of benefits and other applicable guidelines. This includes being able to assess that reimbursement, allowances, and patient payments received are applied correctly. * May assume lead responsibilities within assigned functional area. * Resolves accounts by various methods that includes, but is not limited to, making adjustments, transferring funds, corresponding with necessary contacts, responding to inquiries, utilizing various tools for addressing discrepancies and initiating recoupment requests, and processing refunds, all in accordance and in compliance with company, state, and federal policies, regulations, and procedures. * Conducts testing of system updates related to credit balance resolution and refunds and provide feedback to IT. * Performs advanced and/or complex duties requiring independent decisions and extensive, diversified professional experience and knowledge. * Subject matter expert to staff in continuing education in use of system applications. May assist in new hire orientation. * Works with projects and groups to develop or change existing processes as it relates to area of expertise to accommodate changes in business model. * Performs other duties and responsibilities as assigned. Qualifications: * Education: High School Diploma or equivalent. * Experience: 4 year's experience. Responsibilities: Under limited supervision, the Credit Balance Analyst 3, performs professional level analysis to review, research and resolve credit balances on customer accounts to ensure accurate account balances and processes approved requests for refunds. * Applies knowledge related to interpreting explanation of benefits and regulations concerning coordination of benefits and other applicable guidelines. This includes being able to assess that reimbursement, allowances, and patient payments received are applied correctly. * May assume lead responsibilities within assigned functional area. * Resolves accounts by various methods that includes, but is not limited to, making adjustments, transferring funds, corresponding with necessary contacts, responding to inquiries, utilizing various tools for addressing discrepancies and initiating recoupment requests, and processing refunds, all in accordance and in compliance with company, state, and federal policies, regulations, and procedures. * Conducts testing of system updates related to credit balance resolution and refunds and provide feedback to IT. * Performs advanced and/or complex duties requiring independent decisions and extensive, diversified professional experience and knowledge. * Subject matter expert to staff in continuing education in use of system applications. May assist in new hire orientation. * Works with projects and groups to develop or change existing processes as it relates to area of expertise to accommodate changes in business model. * Performs other duties and responsibilities as assigned. Qualifications: * Education: High School Diploma or equivalent. * Experience: 4 year's experience. * Licenses/Certifications: None
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