Refund Specialist

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.

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.