Hospital Credit and Refund Specialist

University of California - Los Angeles Health
United States, California, Los Angeles
May 09, 2024
Description 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 Qualifications* 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 interactdiplomatically, but assertively with the public either on the telephone or in person