Akron Children's Hospital Careers

Refund Specialist

Akron, Ohio
REFUND SPECIALIST


Job Description

Schedule:

40 hours/week, Monday-Friday, day shift

 

Responsible for accurately validating personal refund requests from guarantor=s requests or from personal credit balance reports.  Investigates the requests for insurance refunds from insurance carriers.  Investigates insurance claim adjudication.  Develops relationships with the insurance carriers for follow up with the carrier if there is a question to insure the correct refund is issued.  Responsible to work refund/audit special projects as directed. Must be willing to work overtime as necessary to complete special projects.  Works with several computer systems insurance websites and EOB software to insure the request is made from the appropriate source. Other duties as assigned.

High school graduate or equivalent and a minimum of two (2) years experience in processing physician billing and follow up required.  Prior experience communicating with insurance companies required.  Knowledge of benefit plans and reimbursement mechanisms essential.  Experience with ICD-9/CPT-4 coding and basic medical terminology required.  Must have knowledge of debit and credit adjudication and ability to operate standard office machines and computer.  Demonstrated professionalism, strong communications and organizational skills are essential.  Epic experience preferred.

 

 

Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

 

EEO is the law, please click/copy paste the link below to learn more:

http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf