St. Luke's Health System is seeking a Credit Balance Analyst 2 to join our team.
Unit/Position SummaryUnder limited supervision, the Credit Balance Analyst 2, 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.
Education: High School Diploma or equivalent.
Experience: 2 years experience in health care, medical billing, recovery, payment posting or related experience.
Why St. Luke's
A strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.
*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.
As the only Idaho-based, not-for-profit health system, St. Luke’s Health System is part of the communities we serve, with local physicians and boards who further our organization’s mission “To improve the health of people in our region.” Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals you choose.