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Refund Specialist

AtlantaOn-siteFull-time

AI Summary

Processes payor correspondence and refund requests, ensuring correct reimbursement rates and timely responses while maintaining HIPAA compliance.

About this role

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Processes payor correspondence and refund requests through extensive phone, fax, and written correspondence with the payors and pricing agencies. Ensures correct reimbursement rates based on current client contracts and responds to payor requests in a timely manner. Utilizes knowledge of the revenue cycle and patient accounts to maximize productivity. Abides by and promotes HIPAA compliance at all times.

Qualifications

REQUIRED:

1. 1 year insurance collections/ AR receivables experience or 2 years of customer service/ banking/ accounting experience 2. Good verbal and written communication skills. 3. Basic computer skills, including the Microsoft Office Suite 4. Basic reading, writing, and arithmetic skills.

PREFERRED:

5. Knowledge of healthcare receivables and collections, including denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites.

Work Hours:

600am -245pm

Skills

AR ReceivablesCPC CertificationDenial And Appeal ProcessesHealthcare Revenue CycleHIPAA ComplianceInsurance CollectionsInsurance Company WebsitesMicrosoft Office

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