JOB DUTIES
Description
As the Credit and Refunds Specialist, you will be responsible for :
- Reviewing inpatient and outpatient claims / balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken
- Reviewing and processing refunds / credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution
- Performing all required duties within the patient accounting systems
- Following refund and reimbursement procedures and, after researching credit balances
- Prepare and process refund packets Salary range : $25.71-$36.52 / hourly
JOB QUALIFICATIONS
Qualifications
We are seeking a detail-oriented, diplomatic individual with : · A minimum of 2 years’ experience in hospital / facility collections experience with strong emphasis on managed care contracts and appeals / underpayment collection activities · Strong analytical skills, proficient with spreadsheets · Knowledge of MS Word and MS Excel software · Knowledge of medical terminology · Knowledge of networks, IPA’s, HMO’s, PPO’s and PCP’s and contract affiliation · Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes · Interpersonal skills, including the ability to interact diplomatically, but assertively with the public either on the telephone or in person
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As the Credit and Refunds Specialist, you will be responsible for: • Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken • Reviewing and processing refunds/credit balances in each liability bucket re...
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