Credit Balance Assistant

Find your purpose as a Credit Balance Assistant with Centra Care! The Credit Balance Assistant analyzes posted transactions to determine why there is a credit balance and is responsible for accurate completion and resolution of potential credit balances for health plan payers and patients/guarantors. This position requires detailed analysis and critical thinking to determine what is necessary to correct the account.

After review, if
1) a refund is appropriate to either patient/guarantor or insurance company,
2) a payment transfer is necessary, or
3) a reversal or correction of a contractual adjustment or an administrative adjustment is warranted, then the Credit Balance Assistant is responsible to correct the postings and/or refund the over payment to the appropriate party.

• Full-time 80 hours every 2 weeks
• Mon-Fri 8a-430p
• Onsite at our South Point location in St. Cloud

• Starting pay is $20.31 per hour; exact wage determined by years of related experience.
  • Pay range: $20.31-$30.47 per hour
• Full time benefits: medical, dental, PTO, retirement, employee discounts and more!
• Tuition reimbursement and college grant programs available.

• Associate Degree Business or a healthcare related program preferred.
• Knowledge of health insurance, CPT codes, ICD Codes, Revenue Codes, claim form locators preferred.
• 2 years Minimum of experience in healthcare accounts receivable preferred.
• Experience with analyzing Explanation of Benefits (EOB's/Remits) from various insurance companies/payers for hospital and/or clinic billing environment, working with third party payers, billing, and terminology preferred.
• Demonstrated knowledge of healthcare billing and third party payer requirements.
• Excellent communication skills and customer relations principles.
• Possesses excellent organization and time management skills.
• Experience with use of Microsoft Office applications and related healthcare systems and software.
• Ability to prioritize and complete tasks in a timely manner with attention to detail and accuracy.

• Responsible for timely submission and resolution of all insurance refunds per regulatory, payer and Corporate Compliance requirements.
• Responsible for timely submission and resolution of all self-pay refunds; analyzes other associated accounts, including bad debt, to resolve any outstanding balances.
• Researches payments, adjustments, and transfers to ensure the credit/debit balance is completely resolved. Identifies the originating cause of the refund and compiles a reports for management.
• Perform duties accurately and efficiently to maintain accounts receivable at or below organization's goal.
• Works in a variety of WQ's verifying accuracy of billing information when determining if the Credit Balance is accurate and doing the necessary next steps for completing the refund and/or appropriate adjustment per department policies and procedures. Updates insurance coverage as appropriate.
• Responds to third party payor outside sources and patient questions and concerns, via mail, by telephone, secure email or in person with confidentiality and promptness.
• Maintains and updates constantly changing data received from third-party payers, outside sources and in-house departments to ensure proper handling of customer's accounts.
• Interacts with departments on correction of charges, answering questions and relating benefits of third-party payers and state and federal government.
• Collaborates with others to research and provide pertinent data to ensure proper reimbursement from the third-party payers and state and federal government.
• Researches payments, adjustments, and transfers to ensure that the credit/debit balance is completely resolved.
• Collaborates with others to research and provide…