Provider Level Balance Credit Coordinator

Park Nicollet is looking to hire a Provider Level Balance Credit Coordinator to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

Provider Level Balance (PLB) Credit Coordinator streamlines financial operations by reviewing analyzing and reconciling PLB adjustments that impact provider payments across the full care group including Hospital and Professional billing. This role ensures correct posting of payer-level transactions such as takebacks interest incentives forward balances and administrative offsets with thorough audit trails. The coordinator research discrepancies standardizes workflows implements best practices and promotes accurate revenue recognition. They investigate unexplained balances and collaborate with leaders this position helps prevent reporting errors and strengthens the healthcare revenue cycle.

Required Qualifications:

Education Experience or Equivalent Combination:

• Bachelors degree in healthcare management Business/Finance Administration or related field.
• Minimum of two (2) years of recent healthcare experience in areas such as care delivery revenue cycle financial analysis or related functions.
• In lieu of a degree five (5) years of recent experience in healthcare billing revenue cycle medical insurance and/or financial analysis may be considered.
• Experience in healthcare revenue cycle payment posting or accounts receivable.
• Knowledge of payer remittances 835/PLB segments and reimbursement methodologies

Knowledge Skills and Abilities:

• Technical Proficiency
  • Advanced use of Microsoft Office Suite (Outlook Word Excel Visio Teams PowerPoint) and comparable applications to support reporting analysis and communication.
• Independent & Proactive Work Style
  • Self-motivated with the ability to work independently take initiative and drive process improvements in a dynamic healthcare environment.
• Analytical & Results-Oriented
  • Strong critical thinking and problem-solving skills with a focus on achieving measurable outcomes in patient financial operations.
  • Ability to identify inefficiencies and recommend solutions that enhance revenue cycle performance.
• Multitasking & Time Management
  • Proven capacity to manage multiple priorities and deliverables simultaneously while meeting strict deadlines.
  • Skilled at balancing competing operational and financial demands.
• Organizational Excellence
  • Exceptional organizational skills with the ability to prioritize workload and streamline processes for efficiency.
• Communication Skills
  • Effective and accurate written and verbal communication skills with the ability to present complex financial and operational information clearly to diverse stakeholders.
• Customer Service & Team Collaboration
  • Strong interpersonal skills with a focus on patient-centered service collaboration and teamwork.
  • Professional attitude with commitment to fostering a positive and productive work environment.

Preferred Qualifications:

Education Experience or Equivalent Combination:

• Bachelors degree in healthcare management Business/Finance Administration or related field.
• Four (4) or more years of recent healthcare experience in revenue cycle with cash and credit operations knowledge including remittance 835/PLB segments and reimbursement methodologies.
• Minimum of two (2) years of working knowledge and hands-on experience with HealthPartners software and/or healthcare systems including Epic modules (Cadence Prelude Resolute) OnBase or comparable applications.

Licensure/ Registration/ Certification:

• Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) credential strongly preferred demonstrating expertise in revenue cycle operations and financial management practices.

Knowledge Skills and Abilities:

• Able to interpret Provider Level Adjustment (PLB) codes (e.g. FB WO) and understand actions needed to be resolved.
• Strong knowledge of the healthcare revenue cycle including billing collections and reimbursement processes.
• Ability to research interpret and implement payor and policy changes to ensure compliance and operational efficiency.
• Conduct payor research to support timely payment resolution ensuring compliance with contractual obligations and minimizing delays in reimbursement.
• Experience in developing and delivering formalized training programs for staff and stakeholders.
• Demonstrated project management skills with the ability to lead initiatives from planning through execution.

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance dental insurance a retirement program time away from work insurance options tuition reimbursement an employee assistance program onsite clinic and much more!