[Hiring] Refund Analyst @CommonSpirit Health

Role Description

As our Refund Analyst, you will research and resolve outstanding credit balances under the A/R Billing Supervisor, consistent with Dignity Health Medical Foundation's mission and philosophy.

• Investigate credit balances and process appropriate resolutions daily.
• Bring credit balance and refund experience, analytical skills, and accuracy.
• Demonstrate a solid understanding of accounts receivable and your role as a Refunds Analyst:
• Payor Rules & Regulations
• Understanding contract language
• CCI Coding Issues
• Read and interpret DOFR
• Comprehend how transactions affect account
• Coordination of Benefits rules
• Offsets / Takebacks
• Payment Posting
• Ability to determine correct systems to locate pertinent info:
• IDX
• MPV
• Medical Records Systems
• Insurance Payor Web Sites
• Code Correct Web Site
• Manage multiple expectations, tasks, and deadlines effectively.
• Timely review of electronic communication to stay informed of changes that affect your position.
• Proactively organize and manage case load to ensure refunds are completed timely to avoid offsets.
• Independently research and resolve intermediate to complex issues with available resources and tools.

Qualifications

• High School Diploma or GED
• 1 year experience in professional medical billing office
• Demonstrated proficiency in MS office software applications with emphasis in Word and Excel
• Knowledge of contract adjustments, deductibles, denial types and other messages on third party documentation, including EOB's
• High level of math ability and 10 key experience
• Working knowledge of computers and demonstrated proficiency in using Email systems and Internet