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Refund Analyst

4 months ago

Rancho Cordova, United States Unavailable Full time
Overview

Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.

Responsibilities

Position Summary:

Under the direction of the A/R Billing Supervisor the Refund Analyst is responsible for researching and resolving all outstanding credit balances consistent with the Mission and Philosophy of Dignity Health Medical Foundation.

Core Duties:

  • Determining correct systems to locate pertinent information
  • Managing multiple expectations tasks and deadlines effectively
  • Timely review of electronic communication to stay informed of changes that affect your position
  • Proactively organizing and managing case load to ensure refunds are completed timely to avoid offsets
  • Independently researching and resolving intermediate to complex issues with available resources and tools
  • Researching and analyzing account thoroughly to validate all refund requests and or credit balances
  • Differentiating requirements that vary by payor scenario and or line of business
  • Accurately interpreting information received from payor and document in a manor that is clear to others
  • Identifying trends and proactively seeking resolutions
  • Utilizes appropriate chain of command to assist in resolving complex issues after necessary research has been completed
  • Provides timely and organized feedback in regards to refund issues
  • Takes initiative to find opportunities for process improvement within the department
  • Other duties as assigned
Qualifications

Minimum Qualifications:

  • High school diploma (or equivalent)
  • One (1) year of experience in a professional medical billing office required
  • Requires:
    • Knowledge of contract adjustments deductibles denial types and other messages on third party documentation including EOBs
    • High level of math ability and 10 key experience
    • Working knowledge of computers and demonstrated proficiency in using Email systems Internet and MS office software applications with emphasis in Word and Excel