The Refund Coordinator is responsible for the accurate and timely review and preparation of refunds (patient and insurance) and for reducing credit balances in a timely and efficient manner. This position requires the full understanding and active participation in fulfilling the mission of Ethos Management Inc. It is expected that the employee demonstrate behavior consistent with the core values of Ethos Management. The employee is expected to support all organizational expectations including, but not limited to correspondence, patient's rights, confidentiality of information, and Ethos Management Initiatives.
Major Responsibilities/Activities:
Reviews refund correspondence, determines validity of request. Takes appropriate steps to identify other coverage, submit appeals and follow up with insurance until resolution. Research and/or follows-up on the credit balance report for timely preparation of refunds for facility and senior management approval. Reviews credit balances for correct payment based on the contractual terms and makes necessary adjustments or corrections w Maintains productivity of a minimum combined total of 35 Refunds (patient and insurance) requests daily and/or monthly average of 80% or higher. Follows up on returned refund checks to ensure proper reimbursement of accounts. Responds to all incoming telephone and/or correspondence requests and performs necessary actions to ensure timely account resolution.
Qualifications/Skills Requirements:
1-2 years of recent Refund, Billing and Collections experience in an acute hospital or medical office. Ability to maintain records, balance books, and knowledge of general accounting procedures. Familiarity with discounted business and hospital contracts preferred. Proficient with Microsoft Word and Excel applications. High School diploma or equivalent.
Job Type:
Full-time Pay:
$23.00 - $27.00 per hour Expected hours: 40.0 per week People with a criminal record are encouraged to apply Application Question(s): Do you have knowledge of hospital claims reimbursement policies? Do you have hospital claims billing and collections experience?
Experience:
Medical collection: 1 year (Required) Medical billing: 1 year (Required)