Description

Desired Skill Sets :

Seeking healthcare Refunds experience

Minimum Qualifications

Education : High School Diploma or GED

Licenses / Certifications : (None)

Experience / Knowledge / Skills :

• Two (2) years of hospital business office or medical related experience preferred
• Some knowledge of Medicare / Medicaid / Managed Care reimbursement procedures in a healthcare setting preferred but not required
• Proficient in Microsoft Office with emphasis on Excel, 10-key and math skills
• Multi-tasking in a fast paced, high volume environment

Principal Accountabilities

• Reviews patient account credit balance to determine required transaction. Makes the appropriate refund, adjustment, or correction entry as necessary.
• Ensures the proper insurance rules and policies are applied in performing calculations for refund transactions.
• Verifies status of multiple patient accounts and determines if refund is to be applied to other accounts.
• Assists insurance companies in the coordination of benefits to resolve account discrepancies.
• Responds to inquiries from patients, patient representatives, and / or insurance companies regarding the refund status of patient accounts.
• Prepares refund invoices required for processing overpayments. Maintains refund status records for designated accounts in order to ensure compliance with government regulations.
• Maintain all productivity goals assigned by management.
• Promotes individual professional growth and development by meeting requirements for mandatory / continuing education, skills competency, supports department-based goals which contribute to the success of the organization;

serves as preceptor, mentor, and resource to less experienced staff.

Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.

Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

• Other duties as assigned.

Last updated : 2024-07-02