Parallon believes that organizations that continuously learn
and improve will thrive. That's why, after more than a decade, Parallon remains
dedicated to helping hospitals and hospital systems operate knowledgeably,
intelligently, effectively and efficiently in the rapidly evolving healthcare
marketplace, today and in the future.
As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
JOB TITLE - Refund Specialist
GENERAL SUMMARY OF DUTIES – Researches and processes refunds using computer systems and following company guidelines.
SUPERVISOR - AR Manager & Refund Manager
SUPERVISES - None
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
1. Researches all credit balance accounts and identifies source(s) of overpayment.
2. Completes refund request voucher in accordance with departmental policy and submits to Refund Manager for approval.
3. Enters refund transaction detail into appropriate system to accurately reflect approved transaction.
4. Maintains appropriate documentation and refund records according to departmental policy.
5. Reviews credit balance and overpaid insurance reports on a weekly basis. Identifies sources of overpayment and ensures appropriate refund processing or account correction.
6. Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.
KNOWLEDGE, SKILLS & ABILITIES - This position requires the following minimum requirements:
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, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Ability to read and interpret documents such as operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively to customers or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and interpret graphs.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
EDUCATION - High school diploma or equivalent; and
EXPERIENCE – a minimum of one year of medical billing experience is required, three years of medical billing experience and a comprehensive knowledge of insurance is desired, related experience and/or training; or equivalent combination of education and experience.
CERTIFICATE/LICENSE - None
PHYSICAL DEMANDS/WORKING CONDITIONS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
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• Post ID: 51776418 northdfw