Refund Analyst

1 week ago

Rancho Cordova, California, United States Dignity Health Medical Group Full time
Overview

Dignity Health Medical Foundation was established in 1993 as a California nonprofit public benefit corporation, providing care centers across the state. As an affiliate of Dignity Health, one of the largest health systems in the nation, we work closely with physicians and providers to deliver comprehensive health care services to various communities. Committed to growth, we invest in the latest technologies, top physicians, and state-of-the-art facilities. Our goal is to create enriching work environments where staff can deliver excellent care while gaining valuable experience through challenging assignments and meaningful relationships. Our well-trained and skilled staff are essential in upholding our standard of excellence in care and service.

Responsibilities

Position Summary:

Reporting to the A/R Billing Supervisor, the Refund Analyst is responsible for investigating and resolving all outstanding credit balances in alignment with Dignity Health Medical Foundation's Mission and Philosophy.

Core Duties:

  • Determining correct systems to locate relevant information
  • Managing multiple tasks, expectations, and deadlines effectively
  • Reviewing electronic communications promptly to stay informed of any changes affecting the role
  • Organizing and handling caseload efficiently to ensure timely completion of refunds
  • Independently resolving intermediate to complex issues using available resources
  • Analyzing accounts thoroughly to validate refund requests and credit balances
  • Differentiating requirements based on payor scenarios and line of business
  • Interpreting information accurately from payors and documenting clearly
  • Identifying trends and seeking proactive solutions
  • Collaborating up the chain of command for resolving complex issues
  • Providing organized feedback on refund matters
  • Proactively identifying opportunities for departmental process improvement
  • Performing other assigned duties
Qualifications

Minimum Qualifications:

  • High school diploma or equivalent
  • One year of experience in a professional medical billing office
  • Knowledge of contract adjustments, deductibles, denial types, and third-party documentation
  • Strong mathematical aptitude and proficiency in 10-key operations
  • Proficiency in computers, Email systems, Internet, and MS Office software focusing on Word and Excel

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