AR Refund Specialist

3 months ago


Louisville, United States UofL Health Full time

Overview:

WE ARE HIRING
Location:250 E Liberty Street Louisville, KY 40202


About UofL Health
UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.uoflhealth.org.

Job Summary:

Responsible for receiving and analyzing each account on the credit balance report(s). Process refund requests from insurance groups and patients. Prepare and submit Medicare Credit Balance detail report and Certification page on a quarterly basis as required by the authority of sections 1815(a), 1833(e), 1886(a)(1)(C) and related provisions of the Social Security Act. Ensure patient balance is accurately stated after processing refund/adjustments on accounts with a credit balance.

Responsibilities:
  • Determine whether applied payments should be refunded by researching the payment, contractual, patient liability amounts.
  • Gather information necessary, i.e. explanation of benefits to process refunds to the patient/guarantor.
  • Review explanation of benefits to confirm how payments were applied to patient accounts.
  • Analyze adjustments and submit necessary adjustments to be applied to the patient account.
  • Complete refund requests on each credit and submit to leadership for approval.
  • Maintain documentation for all communications, adjustments and refunds for retrieval and tracking purposes.
  • Keep informed of all policies and procedures related to the refunds and audit processes and ensure adherence to all federal, state, and local regulatory billing guidelines as well as payer specific billing guidelines.
  • Balance and log refunds processed daily.
  • Monitors reasons adjustments/contractuals are creating credit balances and forwards any repetitive issues to leaderships attention. Determine root causes of erroneous credit balances.
  • Ensure all account balances are correct prior to issuing refunds.
  • Process refunds requested by patient within five (5) working days of receipt/request.
  • Demonstrate the ability to work independently with minimum supervision.
  • Complete tasks by deadline.
  • Attend seminars as requested.
  • Other duties as assigned.
Qualifications:

MINIMUM EDUCATION & EXPERIENCE

  • High School Diploma, or GED
  • Two years of experience in AR Operations, accounting, or equivalent experience preferred

KNOWLEDGE, SKILLS, & ABILITIES

  • Ability to analyze and interpret information on electronic remittances (ERA)/ Explanation of Benefits (EOB)
  • Knowledge of insurance contracts
  • Ability to meet productivity expectations

  • AR Refund Specialist

    2 weeks ago


    Louisville, Kentucky, United States UofL Health Full time

    Job Title: AR Refund SpecialistUofL Health is seeking a highly skilled AR Refund Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for analyzing and processing credit balances, ensuring accurate and timely refunds to patients and insurance companies.Key Responsibilities:Analyze and interpret electronic...

  • AR Refund Specialist

    3 weeks ago


    Louisville, Kentucky, United States UofL Health Full time

    Job Summary:As a key member of the UofL Health team, the AR Refund Specialist plays a crucial role in ensuring accurate and timely refunds to patients and insurance groups. This position requires strong analytical and communication skills, as well as the ability to work independently with minimal supervision.Responsibilities:Refund Processing: Determine...

  • Refund Specialist

    4 days ago


    Louisville, Kentucky, United States UofL Health Full time

    Job SummaryUofL Health is seeking a skilled Refund Specialist to join our team. The successful candidate will be responsible for analyzing credit balances, processing refund requests, and ensuring accurate patient account balances.Key ResponsibilitiesAnalyze electronic remittances and explanation of benefits to determine refund eligibility. Process refund...

  • Refund Specialist

    4 weeks ago


    Louisville, Kentucky, United States UofL Health Full time

    Job SummaryWe are seeking a highly skilled Refund Specialist to join our team at UofL Health. In this role, you will be responsible for analyzing credit balances, processing refund requests, and ensuring accurate patient account balances.Key ResponsibilitiesAnalyze electronic remittances and Explanation of Benefits (EOB) to determine refund...


  • Louisville, United States University of Louisville Physicians Full time

    Responsible for receiving and analyzing each account on the credit balance report(s). Process refund requests from insurance groups and patients. Prepare and submit Medicare Credit Balance detail report and Certification page on a quarterly basis as Specialist, Healthcare, Patient

  • AR Specialist

    1 month ago


    Louisville, United States Creative Financial Staffing Full time

    AR Specialist - Louisville, CO We're looking for an experienced AR Specialist to join a global leader where your contributions will be pivotal. This is your chance to step into an AR Specialist role that values your analytical expertise and teamwork. As an AR Specialist, you'll be part of a fast-paced company where your role will be essential to our...


  • Louisville, Kentucky, United States UofL Health Full time

    Job Summary:As a key member of the UofL Health team, the AR Refund Specialist plays a critical role in ensuring accurate and timely refunds to patients and insurance groups. This position requires strong analytical and communication skills, as well as the ability to work independently with minimal supervision.Responsibilities:Refund Processing: Determine...

  • AR Specialist

    1 week ago


    Louisville, CO, United States Creative Financial Staffing Full time

    AR Specialist - Louisville, COWe're looking for an experienced AR Specialist to join a global leader where your contributions will be pivotal. This is your chance to step into an AR Specialist role that values your analytical expertise and teamwork. As an AR Specialist, you'll be part of a fast-paced company where your role will be essential to our continued...


  • Louisville, Kentucky, United States UofL Health Full time

    Job SummaryThe Accounts Receivable Customer Service Specialist plays a vital role in providing exceptional customer service to patients, insurance companies, and physician offices. This position requires strong communication skills, attention to detail, and the ability to resolve complex account issues in a timely and professional manner.Key...


  • Louisville, Kentucky, United States UofL Health Full time

    Job SummaryThe Accounts Receivable Customer Service Specialist is responsible for providing exceptional customer service to patients, insurance companies, and physician offices regarding questions on hospital accounts. With resolution, they assist patient/guarantor/insurance companies on inquiries of a patient account. They complete requests received via...


  • Louisville, Kentucky, United States UofL Health Full time

    Job SummaryThe Accounts Receivable Customer Service Specialist plays a vital role in providing exceptional customer service to patients, insurance companies, and physician offices. This position is responsible for answering incoming calls, resolving account inquiries, and providing solutions with compassion and professionalism.Key ResponsibilitiesAnswer...


  • Louisville, United States UofL Health Full time

    Job Summary : The Accounts Receivable Customer Service Specialist answers incoming telephone calls, i.e., patients, insurance companies, physician offices, etc. regarding questions on hospital accounts. With resolution, assists patient/guarantor/insurance companies on inquiries of a patient account. Complete requests received via telephone or written...


  • Louisville, United States UofL Health Full time

    Overview: WE ARE HIRING! Location: 250 E Liberty Street Louisville, KY 40202 About UofL Health UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties,...


  • Louisville, Kentucky, United States Volare Health LLC Full time

    Job Summary:Volare Health LLC is seeking a skilled Managed Care/Insurance Biller to join our team. As a key member of our billing team, you will be responsible for ensuring accurate and timely billing and claims processing for our long-term care facilities.Responsibilities: Authorization: Review and follow up with facilities to ensure authorization to...

  • AR Specialist

    2 weeks ago


    Louisville, Kentucky, United States LHC Group Full time

    Accounts Receivable Specialist OpportunityWe are seeking a skilled Accounts Receivable Specialist to join our team at LHC Group. As a key member of our HCBS Division, you will play a crucial role in ensuring timely and accurate payment of medical claims.About the RoleAs an Accounts Receivable Specialist, you will be responsible for conducting thorough...


  • Louisville, Kentucky, United States Wipro Full time

    Oracle OTBI Technical SpecialistWipro is seeking a highly skilled Oracle OTBI Technical Specialist to join our team.Key Responsibilities:Design and develop high-performance Oracle Transactional Business Intelligence (OTBI) reports.Utilize BI Publisher reporting experience to create data-driven insights.Analyze and interpret Oracle ERP Cloud GL/AP/AR/PA/FA...


  • Louisville, Kentucky, United States Confluent Health Full time

    Accounts Receivable SpecialistConfluent Health is seeking a detail-oriented and organized Accounts Receivable Specialist to join our accounting team. The successful candidate will be responsible for invoicing customers, posting customer payments, and tracking account activity. This individual will work closely with the AR Team Lead, Team Accountants, and...

  • AR Specialist

    1 month ago


    Louisville, United States LHC Group Full time

    SummaryWe are hiring for an Accounts Receivable Specialist in Louisville, KY for our HCBS Division.At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. We strive to...

  • AR Specialist

    1 month ago


    Louisville, United States LHC Group Full time

    SummaryWe are hiring for an Accounts Receivable Specialist in Louisville, KY for our HCBS Division.At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. We strive to...


  • Louisville, Kentucky, United States Volare Health LLC Full time

    Job Title: Managed Care/Insurance BillerVolare Health LLC is seeking a dedicated and detail-oriented Managed Care/Insurance Biller to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring accurate and timely billing and claims processing for our skilled nursing and short-term rehabilitation...