Community Health Systems Refunds Specialist II in Sarasota, Florida

Description:

  • Understanding of the revenue cycle and the responsibility and goals of each area and how they impact the revenue cycle

  • Maintain knowledge of Business Office policies and procedures

  • Research and resolve accounts that are in a credit balance status

  • Research and resolve all refund requests

  • Follow all refund supporting documentation requirements

  • Post refunds and recoupment s

  • Working knowledge of payor contract requirements in regards to refunds and recoupment

  • Complete the Quarterly Medicare Credit Balance Report

  • Review all credit balance accounts that fall under non-governmental financial classes for the following that may have caused the credit balance:

  • Contractual Posting Errors

  • Retractions and/or overpayments

  • Charge deletions

  • Amounts deemed not payable by the payor (non-covered, hospital liable)

  • Recoveries on bad debt accounts

  • Overpayments made by the patient

  • Understanding of Section 3, 5 & 8 Policies

  • Maintain a working knowledge of the Financial Support Services 480 and Log Specialist positions to assist with duties as needed and/or requested

  • Apply corrections to patient demographics, charges, adjustments and payments

  • Document all actions accordingly by documentation standards within ClaimIQ and DAR

  • Identify and provide communication and education on trends identified on the credit balance report

Qualifications

--{PS..0}· --{PS..1}High school diploma or equivalent

--{PS..2}· --{PS..3}Minimum of one year experience in ahealthcare setting

--{PS..4}· --{PS..5}Detail oriented, analytical and abilityto problem solve

--{PS..6}· --{PS..7}Excellent written and oralcommunication skills

--{PS..8}· --{PS..9}Working knowledge of Microsoft Word andExcel or equivalent

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1759444