Community Health Systems Refunds Specialist in Sarasota, Florida

Description:

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

  • Maintain knowledge of Business Office policies andprocedures

  • Research and resolve accounts that are in a credit balancestatus

  • Research and resolve all refund requests

  • Follow all refund supporting documentation requirements

  • Post refunds and recoupment s

  • Working knowledge of payor contract requirements in regardsto refunds and recoupment

  • Complete the Quarterly Medicare Credit Balance Report

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

  1. Contractual Posting Errors

  2. Retractions and/or overpayments

  3. Charge deletions

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

  5. Recoveries on bad debt accounts

  6. Overpayments made by the patient

  • Understanding of Section 3, 5 & 8 Policies

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

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

  • Document all actions accordingly by documentation standardswithin ClaimIQ and DAR

  • Identify and provide communication and education on trendsidentified on the credit balance report

Qualifications

  • Highschool diploma or equivalent

  • Minimumof one year experience in a healthcare setting

  • Detailoriented, analytical and ability to problem solve

  • Excellentwritten and oral communication skills

  • Workingknowledge of Microsoft Word and Excel or equivalent

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1822525