What are the responsibilities and job description for the Credit Balance Analyst position at St Lukes Health System (Boise ID)?
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.
- Resolve 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.
- Manages the credit balance and related reporting as well as external correspondence relating to overpayments made by insurance payers or patients.
- Responsible for identifying and documenting any insurance payer or internal issues as they arise.
- Conducts special research that are unique in nature related to patient accounts which may result in recalculation of pay history.
- Responsible for proper documentation/authorization to support transactions.
- Acts at technical expert level on one or more process flows. May serve as a resource to others in the resolution of complex problems and issues.
- Performs special projects as assigned. Assists in the development and implementation of applicable policies and procedures.
- May act as backup to one or more processes outside of area of expertise.
- Performs special analysis, reconciles designated accounts, etc. within assigned functional area(s).
- Performs other duties and responsibilities as assigned.
Qualifications:
- Education: High School Diploma or equivalent.
- Experience: 2 year's experience.
What’s in it for you
At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
