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Refund Specialist

2 months ago

Prescott Valley, United States Unavailable Full time
Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

This position is onsite at Yavapai Regional Medical Center.

The following are representative of the duties and responsibilities the Refund Specialist is expected to perform:

  • Validates the appropriate posting of money to the accounts receivable and applies denials using the collection tool and policies and procedures to achieve department and hospital goals.
  • Researches accounts and documentation to determine validity of refunds.
  • Posts adjustments for appropriate account reconciliation and resolution.
  • Meets productivity standards for processing refunds in an effort to achieve account resolution.
  • Maintains and facilitates communication within the business and clinical divisions.
  • Responds professionally and within appropriate timeframes to telephone e-mail and task inquiries.
  • Participates in staff meetings performance improvement activities and committees as assigned.
  • Utilizes issues log when necessary.
  • Supports the cash management function by providing backup to all Cash Management positions as needed.
  • Other job duties as assigned.
Qualifications
  • High School graduate or GED.
  • Accounts receivable experience.
  • One year of hospital or clinic collection experience.
  • Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs for acute care and ambulatory services.
  • Basic knowledge of accounting principles.
  • Knowledge of 835 processes to ensure accurate refunds are processed to correct payer.
  • Ability to resolve accounting issues related to cash posting.
  • Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service.
  • Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment.
  • Ability to maintain acute attention to detail.
  • Basic computer literacy and proficiency in Microsoft Windows.
  • Basic proficiency with MS Office (Outlook Word Excel).
  • Experience with insurance billing computer applications preferred.

While you’re busy impacting the healthcare industry we’ll take care of you with benefits that include health/dental/vision FSA matching retirement plans paid vacation adoption assistance annual bonus eligibility and more