Refund Specialist (Hybrid), Day Shift, Patient Customer Service
About The Position
Adventist HealthCare seeks to hire an experienced Refund Specialist for our Patient Customer Service department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Refund Specialist, you will: Provide resolutions on credits based on knowledge of payer contracts and understanding of the specific requirements for each payer. Complete the Quarterly Medicare Credit Balance Report. Evaluate patients’ accounts to answer questions or bring resolution to credits. Review EOB and patient payments to determine any possible overpayments made by the payer and/or patient. Perform duties such as processing write-offs, charge adjustments, billing corrections, or voids to correct errors in previous billing to insurance companies. Maintain patient confidentiality and follow HIPAA guidelines Identify patient overpayments and refunds.
Requirements
- High School Diploma required or some college preferred.
- A minimum of 3 years’ experience within a healthcare environment can including an insurer, a public health setting, or an outsourcing company
- Ability to work independently and in a team environment.
- Must maintain a high volume of processing without compromising quality and accuracy.
- Strong Customer Service skills.
- Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.
Nice To Haves
- Experience with refunds to insurance companies preferred
Responsibilities
- Provide resolutions on credits based on knowledge of payer contracts and understanding of the specific requirements for each payer.
- Complete the Quarterly Medicare Credit Balance Report.
- Evaluate patients’ accounts to answer questions or bring resolution to credits.
- Review EOB and patient payments to determine any possible overpayments made by the payer and/or patient.
- Perform duties such as processing write-offs, charge adjustments, billing corrections, or voids to correct errors in previous billing to insurance companies.
- Maintain patient confidentiality and follow HIPAA guidelines
- Identify patient overpayments and refunds.
Benefits
- Work life balance through nonrotating shifts
- Recognition and rewards for professional expertise
- Free Employee parking
- Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
- Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
- Paid Time Off
- Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
- Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
- Subsidized childcare at participating childcare centers
- Tuition Reimbursement
- Employee Assistance Program (EAP) support
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
