Patient Accounting Specialist - Refunds and Overpayments

Our Mission: Quality, compassionate care for all.

Our Vision: Reimagine health care through connection, service and innovation.

Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.

What This Role Entails

If you enjoy solving financial puzzles and making sure the numbers add up, this role is for you. You’ll focus on insurance and self-pay refunds, overpayment research and resolution, and accounts receivable, using your attention to detail and revenue cycle expertise to ensure patient accounts are accurate and every payment is properly accounted for.Processes insurance and self-pay refunds accurately and in accordance with established policies, procedures, and applicable regulations.

• Researches and resolves overpayments and credit balances, determining the appropriate disposition of funds.
• Reviews patient accounts, payment history, and account activity to identify overpayments, credits, discrepancies, and refund opportunities.
• Reconciles account balances and payment activity to ensure refunds and adjustments are accurate.
• Researches payment discrepancies and account variances and takes appropriate action to resolve them.
• Reviews insurance payments, patient payments, and account transactions to determine whether funds were appropriately applied.
• Processes account adjustments related to overpayments and refunds in accordance with department procedures.
• Coordinates with patients, insurance payers, and internal departments to obtain information needed to resolve overpayments and process refunds.
• Documents refund and overpayment research, communications, and account activity accurately and thoroughly.
• Maintains accurate account information and supporting documentation related to refunds and overpayments.
• Identifies trends or recurring issues related to overpayments, credits, or refunds and communicates concerns to appropriate leadership.
• Provides professional and courteous customer service when responding to questions regarding refunds, payments, credits, and account balances.
• Manages assigned accounts and workload in accordance with department productivity, accuracy, and quality standards.
• Performs other duties as assigned consistent with the knowledge, skills, and abilities required for the position.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs.

What You Will Bring

• Minimum of one (1) year of experience in a hospital, healthcare, medical office, or revenue cycle setting preferred.
• Accounts Receivable (AR) experience preferred.
• Medical billing or patient accounting experience preferred.
• Experience processing insurance and/or self-pay refunds and resolvingoverpayments preferred.
• Strong understanding of basic accounting principles and business mathematics.
• Excellent attention to detail and ability to accurately review and reconcile account information.
• Strong analytical and critical-thinking skills with the ability to research account activity and determine appropriate resolution.
• Excellent organizational skills with the ability to prioritize and manage multiple accounts and deadlines.
• Excellent verbal and written communication skills.
• Strong interpersonal and customer service skills, particularly when communicating about sensitive financial matters.
• Working knowledge of Microsoft Office, including Word, Outlook, and Excel. Excel proficiency preferred.
• Ability to maintain confidentiality and follow HIPAA guidelines and other applicable regulations.
• Ability to work independently while contributing effectively to a team environment.

Maintains regular and consistent attendance as scheduled by department leadership.

Shift:

Schedule:

Logan Health operates 24 hours per day, seven days per week.  Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

• Criminal background check

• Reference checks

• Drug Screening

• Health and Immunizations Screening

• Physical Demand Review/Screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.