Hospital Refund Specialist
4 weeks ago
Role and Responsibilities:
The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer service, maintain compliance with professionalism and regulatory processes. Interface with facility clients and internal corporate stakeholders.
Manage daily work queues of credit balances for both onshore & offshore teams. Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances. Complete thorough review of patients’ accounts with credit balances to validate the patient overpayment is accurate. Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation. Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines. Process refunds accurately and in timely manner adhering to contract language where appropriate. Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims. Use critical and analytical problem-solving skills to resolve issues Uses strong organizational skills to effectively manage large amounts of detailed information Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances. Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position Other duties as assignedRequired Experience:
Qualifications and Education Requirements:
High school graduate or equivalent. Must have the skills necessary to operate the office equipment required to fulfill job duties Excel, Word, Outlook Able to navigate through nThrive and Availity (preferred) Previous credit balance resolution experience in a facility or CBO environment 2 years combined experience CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals Understanding of medical terminology Basic understanding of credit and refund guidelines Additional NotesThis is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.
-
Hospital Refund/ Reimbursement Specialist
2 weeks ago
Dallas, United States NSN Revenue Resources Full timeJob Type Full-time Description The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer service, maintain compliance with professionalism and regulatory processes. Interface...
-
Operations Specialist
3 weeks ago
Dallas, United States University Partners Full timeJOB PURPOSE: The Operations Specialist is responsible for a wide range of Management Services projects. The scope of duties will vary according to projects but may include the following: assisting student housing properties with on-site management functions; facilitating training and development of property staff; assisting in the development and...
-
Medical Billing Specialist
2 weeks ago
Dallas, United States NuScript Systems, Inc. Full timeJob DescriptionJob DescriptionRole DescriptionThis is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your...
-
Operations Specialist
2 days ago
Dallas, United States University Partners Full timeJOB PURPOSE: The Operations Specialist is responsible for a wide range of Management Services projects. The scope of duties will vary according to projects but may include the following: assisting student housing properties with on-site management functions; facilitating training and development of property staff; assisting in the development and...
-
Operations Specialist
4 weeks ago
Dallas, United States University Partners Full timeJob DescriptionJob DescriptionJOB PURPOSE: The Operations Specialist is responsible for a wide range of Management Services projects. The scope of duties will vary according to projects but may include the following: assisting student housing properties with on-site management functions; facilitating training and development of property...
-
AR Billing Specialist
2 weeks ago
Dallas, United States Quorum Full timeDo you enjoy having a little fun while working towards a goal with others? Our upbeat staff would love to meet you! Maverick Medical Transportation is a non-emergency medical transport company that provides care and transportation services for patients by safely taking them to and from medical appointments via stretcher. Our drivers also do discharges from...
-
Accounts Receivable/ Medical Billing
4 weeks ago
Dallas, United States Texas Sports Medicine & Orthopaedic Full timeJob DescriptionJob DescriptionResponsibilities and Duties include but are not limited to:Post payments and chargesContact payers for claims status, follow-up denials, or partial paymentsObtain payer requirements for timely adjudication of claimsFile claims with appropriate documentation attachedProcess all incoming and outgoing correspondence as...
-
Arista - Operations Support Specialist
1 week ago
Dallas, United States CityVet Full timeArista Advanced Pet Care, a new business division specializing in Veterinary Specialty & Emergency hospitals, is seeking an Operations Support Specialist to play a pivotal role in our early-stage company. Leveraging over 25 years of experience, we ar Support Specialist, Operations, Continuous Improvement, Support, Specialist, Operation, Animal Care,...
-
Tax Specialist
4 weeks ago
Dallas, Texas, United States TXU Energy Full timeJob SummaryThis direct entry exempt position requires a working knowledge of tax concepts, practices, and procedures and specialized knowledge of state and federal income tax lawsJob DescriptionKey AccountabilitiesAssisting in the identification and documenting of tax return positions Managing fixed assets in tax software for compliance and financial...
-
Customer Service Specialist
2 weeks ago
Dallas, United States Hilton Hotels & Resorts Full timeAs a Customer Service Specialist (PBX Operator), you would be responsible for answering and responding to internal and external calls in the hotel's continuing effort to deliver outstanding guest service and financial profitability. Specifically, you Customer Service Specialist, Customer Service, Specialist, Hospitality, PBX Operator, Retail
-
Regional Clinical Specialist
2 weeks ago
Dallas, United States LCS Senior Living Full timeWhen you work at LCS Dallas Operations, you have a front-row seat to the amazing life stories of the wisest people on earth. What's more, you are part of an extraordinary company - one that's investing in the future of senior living by investing in you. Don't just do a job. Be part of an extraordinary life! LCS Dallas Operations is recruiting for a...
-
Property Tax Specialist
4 weeks ago
Dallas, Texas, United States TXU Energy Full timeJob SummaryThis direct entry exempt position requires a working knowledge of tax concepts, practices, and procedures and specialized knowledge of state and federal income tax lawsJob DescriptionKey AccountabilitiesAssisting in the identification and documenting of tax return positions Managing fixed assets in tax software for compliance and financial...
-
Dallas, United States The University of Texas Southwestern Medical Center Full timeUT Southwestern Medical Center is the leading hospital system in North Texas. We are consistently lauded as the number one medical facility for the past six years in a row. We offer best in class care to our valued patients and best in class benefits Clinical, Specialist, Management, Billing, Medical, Healthcare, Collections
-
International Student Leader Specialist
5 days ago
Dallas, United States International Friendships Inc Full timeIntroducing IFI, and why you want to be an International Student Leader Specialist with us: International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday hosting, temporary housing,...
-
Regenerative Therapy Specialist
2 weeks ago
Dallas, United States Kerecis LLC Full timeJob Type Full-timeDescriptionKerecis (www.kerecis.com) is a biotechnology company that develops, manufactures and markets regenerative grafts from Omega3-rich fish skin. The company's initial product (Kerecis Omega3 Wound) has been approved by the FDA and is being marketed in the U.S. and several international markets. Kerecis has in the last two years...
-
International Student Leader Specialist
1 month ago
Dallas, United States International Friendships, Inc. Full timeJob DescriptionJob DescriptionIntroducing IFI, and why you want to be an International Student Leader Specialist with us:International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday...
-
Courtesy Supervision Specialist
5 days ago
Dallas, United States Mainstream Nonprofit Solutions Full timeJob Type Full-time Description ****Average hourly rate is $23.36 (including wage, incentives, bonuses, overtime, shift differential, etc.)****Do you like working with children and families? Do you want the ability to work Hybrid?Then Texas Family Initiative has the job for you! We are looking for full-time Courtesy Supervision Specialist to add to our team!...
-
Tax Specialist
1 month ago
Dallas, United States TXU Energy Full timeJob Summary This direct entry exempt position requires a working knowledge of tax concepts, practices, and procedures and specialized knowledge of state and federal income tax laws Job Description Key Accountabilities Assisting in the identification and documenting of tax return positions Managing fixed assets in tax software for...
-
Medical Collections Specialist
5 days ago
Dallas, United States SCP Health Full timeAt SCP Health, what you do mattersAs part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical...
-
Child Life Specialist
2 weeks ago
Dallas, United States Scottish Rite for Children Full timeOur patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: Child Life Specialist Location: Dallas - Hospital Additional Posting Details: Monday - Friday 8am-4:30 pm Job Description: Duties/Responsibilities + Responsible for working closely with families and the healthcare team to...