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Refund Specialist (Hybrid), Day Shift, Patient Financial Services

Adventist HealthCare · US

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks t...

Job description

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire a Refund Specialist who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. Qualifications: - Provide resolutions on credits based on knowledge of payer contracts and understanding of the specific requirements for each payer. - Complete the Quarterly Medicare Credit Balance Report. - Evaluate patients’ accounts to answer questions or bring resolution to credits. - Review EOB and patient payments to determine any possible overpayments made by the payer and/or patient. - Perform duties such as processing write-offs, charge adjustments, billing corrections, or voids to correct errors in previous billing to insurance companies. - Maintain patient confidentiality and follow HIPAA guidelines - Identify patient overpayments and refunds. - High School Diploma required or some college preferred. - A minimum of 3 years’ experience within a healthcare environment can include an insurer, public health setting, or an outsourcing company - Ability to work independently and in...