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.