Reviews and identifies overpayments for self-pay and insurance credit balances processing refunds as appropriate. Ensures compliance with hospital policies and procedures. Works to facilitate resolution of refunds through attention to detail, problem solving initiative, and dedication to efficient service for patients and insurance companies.
Education - Required:
- High School Diploma/GED
- Associate's Degree Healthcare Administration, Finance or Business
- 3 years physician or hospital billing/insurance follow up experience or
- 2 years refunding experience utilizing an automated patient accounting system
- Knowledge of insurance companies contracts and regulations.
- Mathematical competency to understand debits, credits, adjustments, and reconciliation.
- Strong analytical, problem solving, and organizational skills.
- Ability to utilize Microsoft Office Suite (Word, Excel, PowerPoint and Outlook).
- Successful completion of DOE and Revenue Cycle Education within 3 months of hire.
- CPAT - Certified Patient Accounting Technician