Refund Specialist (Hybrid), Day Shift, Patient Financial Services

About the role

Adventist HealthCare seeks to hire a Refund Specialist who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

Responsibilities

• Provide resolutions on credits based on knowledge of payer contracts and understanding of the specific requirements for each payer.
• Complete the Quarterly Medicare Credit Balance Report.
• Evaluate patients’ accounts to answer questions or bring resolution to credits.
• Review EOB and patient payments to determine any possible overpayments made by the payer and/or patient.
• Perform duties such as processing write-offs, charge adjustments, billing corrections, or voids to correct errors in previous billing to insurance companies.
• Maintain patient confidentiality and follow HIPAA guidelines.
• Identify patient overpayments and refunds.

Qualifications

• A High School Diploma required or some college preferred.
• A minimum of 3 years’ experience within a healthcare environment can include an insurer, public health setting, or an outsourcing company.
• Ability to work independently and in a team environment.
• Maintain a high volume of processing without compromising quality and accuracy.
• Strong Customer Service skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.

Work Schedule

Full-time, 40 hours/week, Day Shift-Hybrid, Monday through Friday, 8:00 am - 4:30 pm

Pay Range

$19.64 - $25.65

Benefits

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

Additional Information

Adventist HealthCare is a faith-based organization with a reputation for high-quality, compassionate care. The organization is the largest healthcare provider in Montgomery County, MD. Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco use is not accepted as a valid explanation for a positive drug test result. Applicants who test positive for Cotinine (nicotine) and marijuana are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background.