Temp - Administrative - Refund Specialist (Days) Dallas, TX

Title: Temp - Administrative - Refund Specialist (Days) Dallas, TX

• Reviews all refund requests from patients and third party payors
  and credit balances, analyzes the account payment history, determines validity of the request
  and responds and/or processes refund in a timely manner. Audits patient accounts to find and correct
  complex refund issues.
• Alerts the Refund Supervisor of any trends in credit
  balances that may result from payor overpayments and/or inappropriate payment and adjustment
  posting.
• Monitors all credit balances for Medicaid, Medicare and other State and/or Federally funded payors and processes
  corrections immediately to ensure
  no credit balances remain unresolved.
• Answers questions
  and provides appropriate guidance to lower level members on resolving complex account and payor issues.
• Identifies ways to
  improve work processes and provides recommendations for new or revised
  procedures, collaborates with the Supervisor to develop tools to enhance the collections process. Implements and monitors results as appropriate in support of the overall goals of the department and
  PHHS.
• Documents all actions
  taken on accounts in the system
  account notes to ensure all prior actions
  are noted and understandable by others.
• Tracks productivity
  and provides cumulative reports on a daily, weekly or monthly basis, as required by supervisor and/or manager.

• Identifies ways to
  improve work processes and improve customer satisfaction. Makes recommendations to supervisor,
  implements, and monitors results as appropriate
  in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading
  professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge
  of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal
  controls designed to promote
  adherence with applicable laws,
  accreditation agency requirements,
  and federal, state, and private
  health plans. Seeks advice and guidance as needed to ensure proper
  understanding.