Hospital Credit And Refund Specialist

General Information
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Work Location: Los Angeles, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 7:30am - 4:00pm
Posted Date
03/13/2024
Salary Range: $25.71 - 36.52 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
14336
Primary Duties and Responsibilities
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As the Credit and Refunds Specialist, you will be responsible for:
* Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken
* Reviewing and processing refunds/credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution
* Performing all required duties within the patient accounting systems
* Following refund and reimbursement procedures and, after researching credit balances
* Prepare and process refund packets
Salary range: $25.71-$36.52/hourly
Job Qualifications
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We are seeking a detail-oriented, diplomatic individual with:
* A minimum of 2 years' experience in hospital/facility collections experience with strong emphasis on managed care contracts and appeals/underpayment collection activities
* Strong analytical skills, proficient with spreadsheets
* Knowledge of MS Word and MS Excel software
* Knowledge of medical terminology
* Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliation
* Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes
* Interpersonal skills, including the ability to interact diplomatically, but assertively with the public either on the telephone or in person