Refund Specialist

Location
Gaithersburg, MD
Posted
Jun 01, 2018
Closes
Jun 25, 2018
Function
Nurse
Industry
Healthcare
Hours
Full Time
AdvertisementAdventist Healthcare

- A premier healthcare system

- A compassionate mission of healing

- Dynamic Maryland/Washington D.C. market

We are a non-profit network of healthcare providers based in Rockville, Maryland. At Adventist HealthCare, you will find a clear passion for caring for the whole person and a progressive faith-based mission. Pursue Excellence. Practice with Compassion.

Work Schedule

Days, 9 am to 5:30 pm

Responsibilities

Responsible for analyzing accounts with credit options and determining appropriate action.

Coordinates and conducts corrective action, typically of a multi-functional nature and affecting a large

volume of insurance companies, and patient accounts. Handles a high degree of public and

professional contact and heavy call volume, inbound/outbound. The ability to precisely process and

maintain the electronic refund report process and update the department manager on a monthly bases

or when needed. Proficient in 10 key and alpha/numeric data entry. Provides coverage to the cash

posting team when needed and assist the customer service team with incoming calls when needed.

Must possess excellent customer service to the hospital clients. Must be organized and detail oriented.

Must be able to work well under deadlines and pressure. Actions and attitude that contributes to the

critical success factors of the organization (i.e. Best place to work, Most extraordinary experience,

Superior outcomes, Financial success for reinvestment, A growing organization vital to the community,

and Valued as a faith-based organization).

1. Knowledgeable of the state of Maryland payment reimbursement rules

and contractual requirements for various payers. Possess the ability to

analyze accounts to determine a true credit.

2. Strong understanding of insurance refund statue of limitation law for the

state of Maryland to assure all refund requests is within compliance.

3. Use sound judgment to resolve credit balance due to insurances and

patients while maintain the integrity of AHC. Process refund reports in a

timely manner and with accuracy.

4. Provides excellent customer service to our clients, assists in problem

resolution both internal and external.

5. Assists Customer Service during staff shortage. Follow up with patient and

insurance companies inquiries regarding status of refunds in a timely

manner

Accepts requests for information from the department manager and other

departments as related to refunds. Possess the ability to have an open

dialogue with the accounting department regarding the status of credit

accounts.

Tobacco Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, We will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine use.

We will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

We are an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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