Accounts Receivable Specialist-Refunds (40 hours/week/M-F/8am-4:30pm)(961905)
Children`s Hospital & Medical Center
Physician Billing
One Positions Available
$12.49 & up with experience
Work at 8200 Dodge Street Work in Omaha, Nebraska
40 hours per week
8am to 4:30pm - Monday-Friday
Equal Opportunity Employer - Affirmative Action W/M/D/V
Accounts Receivable Specialist-Refunds (40 hours/week/M-F/8am-4:30pm)(961905)
Contact:
Recruiter
 
8200 Dodge Street
 
Omaha, NE 68114
Position Description
GENERAL SUMMARY:

Performs all tasks related to refunds. Researches and verifies the accuracy of the monies to be refunded on a patient’s/guarantor’s account.

ESSENTIAL FUNCTIONS/COMPETENCIES
  • Analyzing all accounts in the credit worqueues and refund requests (personal and/or Insurance) to determine if a refund is appropriate. This may involve telephonic work with Payors and/or Account Holders to determine coordination of benefits and other critical pieces of information. Submitting appropriate documentation to the Finance department, posting the entries and documenting the accounts to the Epic computer system, to include verifying system posted amount matches written refund amount (balance/control.)
  • Appealing any inappropriate refund requests.
  • Responsible for reviewing all corresponding adjustments associated with the refunds and posting appropriate reversals. This includes all undistributed and over-postings.
  • Performs any “control” processes as requested.
SECONDARY FUNCTIONS/COMPETENCIES
  • Performs other duties assigned.
KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of the current healthcare climate, including current coding practices in regards to billing and processing of Explanation Of Benefit, managed care contracts, HIPAA standards and governmental program regulations.
  • Ability to read and perform non-complex arithmetic calculations, and perform data entry using a computer at a level generally acquired through the completion of high school.
  • The ability to use a Windows based computer system and common business software is desired.
  • Must have the ability to work independently to effectively and efficiently perform assigned duties. Must be able to effectively communicate with physicians, hospital administrators, billing office staff, insurance carrier representatives, and the public in both verbal and written formats.
EDUCATION AND EXPERIENCE:

Education:

  • High school diploma or GED equivalent.
Experience:

  • Specialized or technical training in medical billing for at least one year, or equivalent experience. Medical terminology and medical office billing experience is desired.
Accounts Receivable Specialist-Refunds (40 hours/week/M-F/8am-4:30pm)(961905)
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This position has been listed under the following classifications:
[Children`s Hospital & Medical Center Positions ]
[Medical Billing ]
[Posted 2009/10/23 ]
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