Job Abstract

As the Credit and Refunds Specialist, you will be responsible for: - Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken - Reviewing and processing refunds/credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution - Performing all required duties within the patient account... more details

General Information

Work Location: Los Angeles, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday - Friday, 7:30am - 4:00pm

Posted Date

03/13/2024

Salary Range: $25.71 - 36.52 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

14336

Primary Duties and Responsibilities

As the Credit and Refunds Specialist, you will be responsible for:

• Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken
• Reviewing and processing refunds/credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution
• Performing all required duties within the patient accounting systems
• Following refund and reimbursement procedures and, after researching credit balances
• Prepare and process refund packets

Salary range: $25.71-$36.52/hourly

Job Qualifications

We are seeking a detail-oriented, diplomatic individual with:

· A minimum of 2 years’ experience in hospital/facility collections experience with strong emphasis on managed care contracts and appeals/underpayment collection activities

· Strong analytical skills, proficient with spreadsheets

· Knowledge of MS Word and MS Excel software

· Knowledge of medical terminology

· Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliation

· Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes

· Interpersonal skills, including the ability to interact diplomatically, but assertively with the public either on the telephone or in person

Apply with UCLA Health

Search Terms: Specialist, Hospital, Credit, Healthcare

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