CO Refund Specialist

6 months ago

Middle River, United States Johns Hopkins University Full time

Job Req ID:

114602

CO Refund Specialist

We are seeking a who will be responsible for the processing of refunds and the resolution of credit balances. This position will analyze the EPIC billing system to assure accuracy of payment posting and third-party reimbursement. Credits will be appropriately investigated and processed following proper accounting methods and established procedures. The Refund/Credit Balance

Specialist will interact with physicians, administration, clinical, accounting and PBS personnel to resolve credit balance issues. Strict confidentiality of patient information, including charges, treatment plans and diagnosis will be maintained.

Specific Duties & Responsibilities

Procedural Knowledge

Responsible for the processing of refunds and resolving credit balances. Prepares check requests via EPIC and SAP System for accounts payable department. Exchanges information with individuals outside the assigned department or institution. Ability to research and answers refund questions. Responsible for the reconciliation of refunds and wire transfers to the EPIC billing system and the university revenue accounts. Interacts closely with the Reconciliation and Payments staff when credit balance problems occur. Accurately maintains online Refund Distribution Sheets. Assists with payment posting and month-end closing. All governmental refunds must be processed in thirty days, or a comment placed in EPIC on the invoice. Verify accuracy of refund checks and posts refund debit to the EPIC system. Researches and resolves Suspense Postings, by contacting third party payers, JHH and other entities, by phone and in writing, to determine the correct destination for payments.

Technical Knowledge

Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). Exercises discretion and judgment in the resolution of credit balance issues. Provides feedback regarding problems to management. Working knowledge of JHU/ PBS Billing Applications. Professional & Personal Development: Participate in on-going educational activities. Assist in the training of staff. Keep current of industry changes by reading assigned material on work related topics. Complete three days of training annually.

Department Specific Responsibilities

Service Excellence

Must adhere to Service Excellence Standards. Customer Relations Self-Management Teamwork Communications Ownership/Accountability Continuous Performance Improvement

Minimum Skills & Abilities

Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc. Physical requirements for the job: Able to sit in a normal seated position for extended periods of time. Able to reach by extending hand(s) or arm(s) in any direction. Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard. Able to communicate using the spoken and written word. Able to see within normal parameters and to hear within normal range. Able to move about. Able to lift minimum weight, 10 lbs.

Minimum Qualifications
High School Diploma or graduation equivalent. One year experience in a medical billing or similar specialty environment required. Knowledge of medical terminology, CPT codes, professional fee billing preferred. Additional education may substitute for required experience, to the extent permitted by the JHU equivalency formula.

Preferred Qualifications
One year of payment posting or refund/credit balance experience preferred. Knowledge of professional fee billing preferred. Good written and verbal communication skills preferred. Knowledge of the EPIC billing System and knowledge of PCs and PC applications preferred.

Total Rewards
The referenced base salary range represents the low and high end of Johns Hopkins Universitys salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: .

Education and Experience Equivalency
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.

Applicants Completing Studies
Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

Background Checks
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

Diversity and Inclusion
The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the .

Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law

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