Refunds Processing Rep I

Job description

Department: 10283 Enterprise Revenue Cycle - Credit Processing: Midwest Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 1.0 Pay Range: $20.80 - $31.20 Major Responsibilities: - Responsible for analyzing and resolving credit balances and requests for refunds within all AAH Hospital Billing entities and Professional Billing within multiple patient accounting systems and ensure appropriate contract reimbursement calculation rates are applied. - Utilize multiple systems to review credit balances as assigned to determine the appropriate course of action needed to accurately resolve. - Determine payor creating overpayment credit, verify coordination of benefits, reimbursement calculations and payment source and follow the appropriate system process and department procedures to resolve. - Identify and report root cause of credit balances and payer refund trends; partner with internal and external counterparts. - Document patient account notes and Guarantor account notes with all actions taken to resolve credit or refund requests. - Possess knowledge of the Refund/Adjustment processes and utilizes systems/applications proficiently in or...