Job Details

Refund Specialist

The posted compensation range of $17.28 - $24.41/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job summary and responsibilities:

• Validates the appropriate posting of money to the accounts receivable and applies denials using the collection tool and policies and procedures to achieve department and hospital goals.
• Researches accounts and documentation to determine validity of refunds.
• Posts adjustments for appropriate account reconciliation and resolution.
• Meets productivity standards for processing refunds in an effort to achieve account resolution.
• Maintains and facilitates communication within the business and clinical divisions.
• Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries.
• Participates in staff meetings, performance improvement activities and committees as assigned.
• Utilizes issues log when necessary.
• Supports the cash management function by providing backup to all Cash Management positions as needed.
• Other job duties as assigned.

Job requirements:

• High school graduate or GED.
• Accounts receivable experience.
• One year of hospital or clinic collection experience.
• Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs for acute care and ambulatory services.
• Basic knowledge of accounting principles.
• Knowledge of 835 processes to ensure accurate refunds are processed to correct payer.
• Ability to resolve accounting issues related to cash posting.
• Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service.
• Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment.
• Ability to maintain acute attention to detail.
• Basic computer literacy and proficiency in Microsoft Windows.
• Basic proficiency with MS Office (Outlook, Word, Excel).
• Experience with insurance billing computer applications preferred.
• Ability to operate 10 key calculator.

Where you'll work:

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Total rewards:

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards page.