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
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 interactdiplomatically, but assertively with the public either on the telephone or in person