Refund Specialist (Full Time) - Patient Financial Services

Kingman Regional Medical Center • Kingman, AZ

1d • Onsite

About The Position

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

Requirements

• High School Diploma or Equivalent
• One (1) or more years of experience in medical billing, accounts receivable(AR), or cash reconciliation in a hospital or clinic setting.
• One (1) or more years of experience in healthcare billing.
• Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9) coding, billing, collections, denials, and payment posting workflow.
• Basic working knowledge of personal computers and their associate user software is required.
• Ability to multi-task while working on multiple responsibilities simultaneously.
• Demonstrated ability to read and analyze an Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA)
• Familiarity with hospital billing (UB-04) and Physician billing (CMS-1500)
• Knowledge of commercial, Medicare, Medicaid, and managed care payer processes.
• Basic accounting principles for balancing and reconciling payments.
• Knowledge of general ledger postings and adjustments.

Nice To Haves

• Experience with Microsoft Office products Word and Excel is preferred.

Responsibilities

• Prepares Refund Request Forms and supporting documentation to ensure that refunds are issued accurately and promptly.
• Performs follow-up on checks that have not cleared the bank and research checks that are returned for insufficient address.
• Follows state specific unclaimed property laws when submitting uncashed refund checks to the appropriate state annually.
• Facilitates voids, reissues, and stop payment requests with facility Accounts Payable Department.
• Maintains HIPAA patient confidentiality standards for medical and financial information.
• Review and respond to various patient and insurance refund/offset requests.
• Reporting & Analysis: Contribute to overall team and departmental objectives by providing insights from refund data; identify trends in refund requests to recommend improvements in products, services, or internal processes to minimize future cancellations and enhance customer experience.
• Identifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable.
• Performs other duties as assigned to support overall effectiveness of department and organization

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED