Refund Specialist

3 weeks ago

Ithaca, New York, United States Cayuga Health System Full time
Job Summary

Cayuga Health System is seeking a skilled Refund Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for researching patient and insurance credit balances in an efficient, accurate, and timely manner.

Key Responsibilities:

  • Review credit balances on accounts to determine source and validity of overpayment.
  • Research claim payment and adjustment history to validate refund requests.
  • Work credit balance worklist daily to ensure timely acknowledgement of refund requests.
  • Thoroughly investigate all payments and adjustments posted to accounts to validate receipt of revenue and accuracy.
  • Collect and record all source documents reviewed to validate approved refund or recoupment requests along with comprehensive account notation.
  • Work directly with insurance companies to settle validated recoupment requests in the most effective manner.
  • Follow-up to ensure approved refunds are processed.
  • Assist in handling payer and patient questions and concerns.

Requirements:

  • High School Diploma.
  • 1-3 years of investigating and processing refunds in a healthcare setting.
  • In-depth understanding of EOBS and insurance recoupments.

Preferred Qualifications:

  • Experience working with Meditech.
  • CPB or CMRS certification.

Physical Requirements:

  • Lifting up to 50 pounds, standing or sitting for extended periods of time, as well as repetitive use of hands and fingers.

Location:

  • Cayuga Health System Main Campus.

Compensation:

  • $20.00 to $26.00 per hour.

Cayuga Health System is committed to treating all patients, providers, staff, and volunteers equitably and with dignity, ensuring the highest levels of safety, care, and respect. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs, and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace.

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