Community Health Systems Refund Audit Analyst in Nashville, Tennessee


Summary: Performs audits on refund requests submitted by internal refund staff for accuracy and completeness.

Essential Duties and Responsibilities: Include the following . Other duties may be assigned.

Objectively reviews and evaluates refund requests from refund analysts within time guidelines

Ability to identify error trends and provide feedback to supervisor

Maintain internal tracking logs for accurate status of refund requests

Develops and coordinates credit balance education and training

Provides audit results to Refunds Analysts

Demonstrates ability to identify issues outside of workflow process and escalates them when necessary

Identifies opportunities for improvement within team as well as refund team

Stays abreast of current policy and procedures related to the refunds and audit processes

Recommends changes to processes as appropriate

Enters posting adjustment into the practice management system according to credit balance protocol

Supervisory Responsibilities: This job has no supervisory responsibilities

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

Analytical- Collects and researches data; Uses intuition and experience to complement data

Customer Service- Responds promptly to customer needs

Interpersonal Skills- Maintains confidentiality of all patient information and company documents

Oral Communication– Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions

Written Communication– Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information

Professionalism- Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position

Quality- Demonstrates accuracy and thoroughness

Quantity- Meets productivity standards

Adaptability- Adapts to changes in the work environment

Attendance/Punctuality- Is consistently at work and on time


Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience Preferred: High school diploma or general education degree (GED); and 3 years experience with processing healthcare refunds including knowledge of insurance billing and coordination of benefits; or equivalent combination of education and experience.

Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations.

Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job: Business Office Support

Organization: PPSI

Location: TN-Nashville

Requisition ID: 1837638