Jobs
>
Dallas

    Hospital Refund Specialist - Dallas, United States - USPI

    USPI
    USPI Dallas, United States

    1 day ago

    Default job background
    Description

    Role and Responsibilities:

    The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer service, maintain compliance with professionalism and regulatory processes. Interface with facility clients and internal corporate stakeholders.

  • Manage daily work queues of credit balances for both onshore & offshore teams.
  • Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances.
  • Complete thorough review of patients' accounts with credit balances to validate the patient overpayment is accurate.
  • Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation.
  • Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines.
  • Process refunds accurately and in timely manner adhering to contract language where appropriate.
  • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims.
  • Use critical and analytical problem-solving skills to resolve issues
  • Uses strong organizational skills to effectively manage large amounts of detailed information
  • Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances.
  • Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
  • Other duties as assigned
    • Required Experience:

    Qualifications and Education Requirements:

  • High school graduate or equivalent.
  • Must have the skills necessary to operate the office equipment required to fulfill job duties
  • Excel, Word, Outlook
  • Able to navigate through nThrive and Availity (preferred)
  • Previous credit balance resolution experience in a facility or CBO environment
  • 2 years combined experience CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals
  • Understanding of medical terminology
  • Basic understanding of credit and refund guidelines
  • Additional Notes

    • This is not an all-inclusive list. Additional tasks and responsibilities may be added by management based on business need.

  • NSN Revenue Resources

    Hospital Refund/ Reimbursement Specialist

    2 weeks ago

    NSN Revenue Resources Dallas, United States

    Job Type · Full-time · Description · The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer s ...

  • KPMG-UnitedStates

    Senior Associate, Income Tax

    1 week ago

    KPMG-UnitedStates Dallas, United States

    Business Title:Senior Associate, Income TaxRequisition Number: Function:Tax Services · Area of Interest:State:TX · City:Dallas · Description: · At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward cu ...

  • VitalCare

    Revenue Cycle Lead

    3 weeks ago

    VitalCare Dallas, United States

    Perform functions to plan for and train the Reimbursement Specialist position, involving initial intake, billing, and collections requirements. Will cultivate an environment of outstanding customer service as the voice of the company in all interactions with franchise partners, p ...

  • The Cook & Boardman Group, LLC

    Accounts Receivable Specialist

    6 days ago

    The Cook & Boardman Group, LLC Dallas, United States

    Summary · The Accounts Receivable Specialist will be responsible for assisting with successful collection of Commercial Accounts Receivable and enforcement of agreed-upon payment terms. This role will have interaction with internal and external customers to secure payment of pas ...

  • Amaze Systems Inc.

    Payment Processing Analyst

    2 weeks ago

    Amaze Systems Inc. Dallas, United States

    Job Description · Job DescriptionHello Professionals, I hope you are doing well · This is RASHEED AKBAR from "Amaze Systems Inc." and I have the following position. Please let me know if you are interested / have anyone. Thanks · POSITION#: · Position: Payment Processing Analyst ...

  • NuScript Systems, Inc.

    Medical Billing Specialist

    6 days ago

    NuScript Systems, Inc. Dallas, United States

    Job Description · Job DescriptionRole Description · This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, ex ...

  • KidsCare Therapy

    Insurance Verification Specialist

    2 weeks ago

    KidsCare Therapy Dallas, United States

    Overview: · Pursue your passion and fulfill your purpose at KidsCare KidsCare Home Health is a multi-award-winning organization who was most recently recognized as a 2023 U.S. Top Workplace. As an award-winning organization, we are looking for dedicated professionals who will em ...

  • Beacon Hill Staffing Group

    AR Specialist

    1 week ago

    Beacon Hill Staffing Group Dallas, United States

    Job Description · Job DescriptionA/R Specialist · Contract-To-Hire · Pre-Employment Compliance: MMR COVID & FLU vaccine, background check, drug test - no THC · Hours: M-F 8:00 to 4:30 pm, 40 hours per week, possible weekends and/or OT if there is business need · Onsite: No remo ...

  • The Arrangement Distinctive Interiors

    Sales Associate

    2 weeks ago

    The Arrangement Distinctive Interiors Dallas, United States

    Job Description · Job DescriptionEssential Duties and Responsibilities: · As a Design/Sales/Product Specialist at The Arrangement, you'll play a pivotal role in delivering exceptional customer experiences. Here's a · summary of your key responsibilities: · Customer Engagement: We ...

  • ESSILORLUXOTTICA GROUP

    Payroll Tax Senior Analyst

    1 week ago

    ESSILORLUXOTTICA GROUP DALLAS, United States Full time

    Requisition ID: 845266 · Position:Full-Time · We are EssilorLuxottica, a global leader in the design, manufacture and distribution of ophthalmic lenses, frames and sunglasses. The Company brings together the complementary expertise of two industry pioneers, one in advanced lens t ...

  • Vital Care Inc.

    Posting Specialist

    2 weeks ago

    Vital Care Inc. Dallas, United States

    The Offset Posting Specialist will work in a team-based environment and is responsible for the accurate posting and reconciliation of remittance received through payer recoupment.Duties/Responsibilities: Maintain a positive ongoing relationship with franchises through regular ema ...

  • Pinnacle Group

    Accounts Receivable Specialist

    3 weeks ago

    Pinnacle Group Dallas, United States

    We are currently seeking a highly talented and motivated individual to join our team. · If you are interested, please send me your updated resume at · Title : Accounts Receivable Specialist · Location : Tuesday - Thursday Onsite in Dallas, TX · Duration : Long Term Contract ...

  • Winstead

    Client Accounts Specialist

    2 weeks ago

    Winstead Dallas, United States

    The uptown Dallas office of Winstead PC, a Texas-based, 300+ attorney law firm, is seeking an experienced client accounts specialist to work as a member of our client accounts team. The client accounts specialist provides our clients (both clients of the Firm and our billing atto ...

  • EssilorLuxottica

    Payroll Tax Senior Analyst

    3 weeks ago

    EssilorLuxottica Dallas, United States

    Payroll Tax Senior Analyst · Date: May 2, 2024 · Brand: Essilor and Subsidiaries · Location: · Dallas, TX, US, 75230 · **Requisition ID:** 845266 · **Position:** Full-Time · We are EssilorLuxottica, a global leader in the design, manufacture and distribution of ophthalmic lenses, ...

  • Yoh, A Day & Zimmermann Company

    Collections Specialist

    1 week ago

    Yoh, A Day & Zimmermann Company Irving, United States

    Collections Specialist · Direct Hire · Irving, TX (Onsite) · Position Responsibilities · Contract Entry · Contract Transfers · Contract Cancellations · General upkeep of assigned Producer groups · Client Services Inbound Phone Line incl. voicemails and Email support · P ...

  • Caris Life Sciences

    Director - Credit & Payment Management

    1 week ago

    Caris Life Sciences Irving, United States

    Position Summary · We are seeking an experienced and effective Credit & Payment Director to oversee assigned processes within the billing operations group. Key areas of responsibility include secondary payer and patient billing, cash applications, and payer audit responses. This ...

  • Christus Health

    Patient Financial Specialist Lead

    1 week ago

    Christus Health Irving, United States

    · Summary: · The Patient Financial Specialist Lead must demonstrate a consistently high degree of proficiency in their primary position within Patient Financial Services Department of CHRISTUS Health. The Team Lead is responsible for a variety of activities in the department. Th ...

  • LaSalle Network

    Bilingual Customer Care Post-Sale Specialist

    3 weeks ago

    LaSalle Network Fort Worth, United States

    LaSalle Network has partnered with the world's largest auctioneer of used heavy equipment and trucks. They are looking for a skilled and passionate Bilingual Customer Care Post- Sales Specialist to join their dynamic team. Shifts are onsite in Fort Worth, TX, Monday-Friday, betwe ...

  • TEKsystems

    Appeals And Denials Specialist

    2 weeks ago

    TEKsystems Plano, United States Contract to Regular

    Required: · 2+ years of Insurance follow-up, denials/appeals experience (Medical A/R) · Hospital/facility collections experience · Description: · Responsible for A/R, and mail follow-up on amounts due from Payor's, and third-party's on a timely basis in accordance with CBO poli ...

  • UMC Health System

    RCM Support Specialist

    1 week ago

    UMC Health System Fort Worth, United States Full time

    We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. · ______________________________________________________________________________ · **Join UMC Physicians: Where Employee Satisfacti ...