You must be able to work on site in Bozeman, MT. This is position does not have a remote option.

Position Summary: 

The Credit Balance Analyst is responsible for processing refunds for third party insurance, Medicare, Medicaid, and Government-Assisted Programs; for both hospital and professional billing. Candidate will be expected to comply with all regulatory bodies and agencies. This will be accomplished by reviewing credit balances on accounts, to resolve by correction, refund or inquiry, and ensures compliance with internal and external customers via verbal and written communication. Candidate will also be responsible for incoming refund request letters from the insurance company. Candidate will be responsible to research and validate refund request. Candidate must have excellent customer service skills to communicate with internal and external customers. Candidate will be expected to use electronic billing. Candidate must demonstrate critical thinking skills to manage day to day basic operations or the ability to seek assistance when needed. Candidate must be able to do work steadily, efficiently and show constant vigilance to the details of the work. Candidate must be able to utilize all office equipment including personal computer and application software, printer, fax, copier, and multi-line phone system. Candidate must have good working knowledge of all insurance and/or Government rules regarding payment, credit procedures, claims submittal and appeal process. Candidate must have excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Candidate must be able to use appropriate reference materials when needed. Candidate should be able to multi-task when needed.

Minimum Qualifications:

Required

High School Diploma or Medical Billing Experience

Preferred

College DegreeMinimum three years Medical Billing Experience in a Hospital setting. Medicare billing knowledge.

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

Review credit balances on accounts and refund requests from insuranceResolve credit balances/refunds by correction or adjustmentIssue inquiries to insuranceIssue refunds to insuranceOther duties as assigned

Knowledge, Skills, and Abilities

Demonstrates sound judgement, patience, and maintains a professional demeanor at all timesAbility to work in a busy and stressful environmentStrong interpersonal, verbal and written communication skillsExercises tact, discretion, sensitivity and maintains confidentialitySelf-directed, completes assignments accurately, thoroughly and with minimal oversightComputer applications, MS Office, EMR, internet applications and standard office equipmentDetail oriented, organizational skills and the ability to prioritize

Physical Requirements

Lifting, Pushing, and Pulling: Lift 30 pounds of weight (pick up supplies, move equipment, etc.) Carry equipment/supplies.Extended Hours: The role may involve working for extended periods, requiring sitting, walking, or standing for eight or more hours daily.Flexible Schedule: The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shiftsOn-Call Availability: On-call work may be required to respond promptly to organizational, patient, or employee needsEffective Communication: Proficient in effective communication, both in person and through various technologiesHandling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employeesRepetitive Tasks: Ability to perform repetitive tasks as needed to fulfill job responsibilities            

Exposures

Tasks Include Potential Exposure: Job tasks may involve exposure to:

Bloodborne pathogens, such as blood, bodily fluids, or tissues.Radiation in settings where medical imaging procedures are performedVarious chemicals and medications used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.Infectious diseases due to contact with patients in areas that may have contagious illnesses

The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification.  They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.

77211370 Patient Financial Services