Job Information
UCLA Health Hospital Credit and Refund Specialist in Los Angeles, California
Description
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
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
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.