[Close] 

Refunds Representative

Reporting to the Cash Posting Manager, the Refund Specialist will be responsible to identify patient and insurance over payments and refunds the appropriate amount assuring compliance with SMMC established policies and procedures and detailed instructions. Candidate must have knowledge of payer contracts and understanding of the specific requirements for each payer, including accurate completion, review and submission of the Medicare and Medicaid quarterly credit balance report by law. Candidate must have excellent computer skills. This position interacts daily with colleagues within the Accounts Receivable, Finance and Patient Access Departments in an effort to quickly resolve outstanding patient account balances/credits while meeting departmental productivity and Quality Review standards. Minimum of five (5) years healthcare financial service experience and/or accounts receivable experience utilizing automated patient accounting systems is required. Intermediate Excel skills required. Knowledge of insurance rules and regulations is required to perform this job. Must have mathematical competency to understand debits, credits, adjustments and reconciliations. Strong analytical, problem-solving and organizational skills are a must. Job function requires effective communication skills, oral and written with patients and Insurance carriers.
Reporting to the Cash Posting Manager, the Refund Specialist will be responsible to identify patient and insurance over payments and refunds the appropriate amount assuring compliance with SMMC established policies and procedures and detailed instructions. Candidate must have knowledge of payer contracts and understanding of the specific requirements for each payer, including accurate completion, review and submission of the Medicare and Medicaid quarterly credit balance report by law. Candidate must have excellent computer skills. This position interacts daily with colleagues within the Accounts Receivable, Finance and Patient Access Departments in an effort to quickly resolve outstanding patient account balances/credits while meeting departmental productivity and Quality Review standards. Minimum of five (5) years healthcare financial service experience and/or accounts receivable experience utilizing automated patient accounting systems is required. Intermediate Excel skills required. Knowledge of insurance rules and regulations is required to perform this job. Must have mathematical competency to understand debits, credits, adjustments and reconciliations. Strong analytical, problem-solving and organizational skills are a must. Job function requires effective communication skills, oral and written with patients and Insurance carriers.


Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Patient Services Representative - Greensburg
Greensburg, PA Aspen Dental
Patient Access Representative
Lansdowne, PA Trinity Health Corporation
Admitting Clerk, Patient Registration Represen...
Pottstown, PA Pottstown Hospital
Patient Access Representative - Pool
Darby, PA Trinity Health Corporation
Charge Capture Representative - Einstein Physi...
Philadelphia, PA Einstein Healthcare Network