Cash Application Refund Spec

Position Details

Department: CORP | Hospital Revenue Cycle Billing
Category: Patient Financial Services
Location: Phoenix
Employee Type: Regular
Posting #: 574311
Posted On: 4/14/2021

Position Summary

This position identifies accounts with credit balances, determines the nature of the credit balance and processes the refund or contractual adjustment while also maintaining the integrity of cash and accounts receivable transactions to ensure maximum efficiency and accuracy of accounts receivable balances. This position also inputs adjustment data into patient accounts and ensures that work complies with all cash related procedures and financial control policies set by the finance department.

Position Duties

  1. Reviews patient accounts with credit balances to determine the nature of the credit balance.
    • Evaluates credit balances reported on the Credit Balance Report daily and posts adjustments or processes refunds as needed. Communicates to supervisor any trends or patterns identifying inaccurate activity transpiring on patient accounts causing unnecessary credit balances.
  2. Analyzes accounts for patient refunds, insurance refunds, contractual adjustments or transfers using the tools provided.
    • Uses payer contracts to identify over-allowed claims and determine appropriate insurance reimbursement. Verifies applicable contract rates by reviewing EOB messages, denials, and member insurance information. Uses knowledge of managed care contracts and government legislation to ensure refund request are within refund processing guidelines. Issue refund request denial letters based on contract and timely guidelines.
  3. Reviews correspondence from insurance companies to determine if request is for approved or denied refunds.
    • Establishes communications with other departments, vendors, and guarantors for reconciliation of credit balance accounts. Collaborates with PCMG to resolve open credit balances before initiating refunds. Submits requests for corrected or void claims to prompt insurance recoups. Sends overpayment letters to AHCCCS plans to prompt recoups.
  4. Reviews and verifies accuracy of approved refunds.
    • Prepares refunds for mailing and documents activity in an accurate and timely manner on the patients account. Scans supporting documentation to patients account in ChartMaxx. Mails check to individual that is due a refund.
  5. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

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