Refund Specialist

CommonSpirit Health•Prescott Valley, AZ

17h•Onsite

About The Position

CommonSpirit Health is a large nonprofit Catholic healthcare organization, inspired by faith, driven by innovation, and powered by humankindness. It is dedicated to building a healthier future for all through its integrated health services, delivering over 20 million patient encounters annually across more than 2,300 clinics, care sites, and 137 hospital-based locations, along with home-based and virtual care offerings. The organization employs over 157,000 individuals, including 45,000 nurses and 25,000 physicians and advanced practice providers, across 24 states. CommonSpirit Health contributes over $4.2 billion annually in charity care, community benefits, and unreimbursed government programs, working with patients, physicians, partners, and communities to create a more just, equitable, and innovative healthcare delivery system. The Refund Specialist role involves validating the appropriate posting of money to accounts receivable and applying denials using collection tools and established policies and procedures to meet departmental and hospital goals.

Requirements

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).
Ability to operate 10 key calculator.

Nice To Haves

Experience with insurance billing computer applications preferred.

Responsibilities

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.