Payment Processing Specialist (Cash Validation Specialist)

Falck is a is a global emergency medical services provider originating from Denmark that services 3 states in the US including: California, Texas, and Colorado. Falck has been operating in the US since 2010 and is one of the largest private providers of emergency medical services in the country today. Our BLS and ALS services impact not only the lives of our patients, but their families and communities.

What We Offer:

Full-Time Benefits (Medical, Dental, Vision, Life) 401(k) with company match

Training and Career Development Paid Time-Off Position Summary:

The Cash Validation Specialist is a key member of the billing team responsible for maintaining the financial integrity of all accounts by managing the end-to-end overpayment and refund process. This detail-oriented role involves validating account credits, ensuring payment accuracy, and processing timely refunds for all payor types. The specialist will ensure all transactions are compliant with internal policies and external regulations. Success in this position requires a strong understanding of ambulance billing principles, Coordination of Benefits, and the ability to communicate effectively across multiple departments to resolve complex financial inquiries.

Essential Functions:

The Cash Validation Specialist must be able to adequately perform essential duties in an organized and efficient manner for all phases of the credit balance and refund process. These duties may include, but are not limited to the following:

Refund Processing and Management:

Manage the complete refund lifecycle by verifying, preparing, approving, and submitting refund check requests. Execute credit card refunds accurately through various online payment portals. Handle all follow-up activities for issued checks, including processing returned mail, managing void requests, and reissuing checks as necessary. Prepare and mail all refund checks to the appropriate payors. Record all issued refund checks by posting the transaction to the appropriate account.

Account Validation and Analysis:

Perform detailed validation of account charges and credits to confirm the accuracy of overpayments and refund amounts. Gather, organize, and analyze all necessary backup documentation to support payment and refund transactions. Apply a comprehensive understanding of Coordination of Benefits (COB) and payor liability rules across various case types to ensure refund accuracy.

Compliance and Communication:

Ensure strict adherence to the company's internal overpayment policy and stay compliant with all required timelines for refund issuance. Communicate effectively with team members and collaborate with other departments to provide information and resolve complex account issues. Comply with all documented SOPs, compliance guidelines, and HIPAA regulations. At Falck we continue to grow and innovate, and with that these duties may evolve and change due to business need.

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, skills, and/or ability required. The individual in this position must possess the following qualifications. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: This position is based out of the Mesa office. Remote may be available at Management's discretion. Must be proficient with Microsoft Suite (Excel, Word, PowerPoint). Excellent analytical skills and quality orientation. Strives for continuous improvement in all activities to consistently achieve excellent results and meet or exceed department expectations. Must have willingness to work a flexible schedule. Overall leadership skills, including relationship building and fostering excellent achievement through teamwork. Must be self-starter with strong individual motivational skills. Strong interpersonal and communication skills with an ability to work effectively with a diverse range of individuals, from field teams to management, as well as external customers. Excellent ability to communicate and work cohesively across Department lines. Highly dependable and able to meet internal deadlines and quotas consistently. Flexible and adaptable, willing and able to adjust to rapidly changing priorities in a growing company. Must always maintain a professional demeanor and appearance.

Education Requirements:

The individual in this position must possess the following education requirements: Highschool diploma or

GED Preferred Education:

NAAC CAC

Certification Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law. This job description is a summary of duties, it is by no means an all-inclusive list but is merely a broad guide of expected duties.