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Qualifications
BASIC QUALIFICATIONS:
EDUCATION: High School Diploma or equivalent
SKILLS: Accounts receivable knowledge, typing, basic medical terminology, excellent communcation skills
PREFERRED:
Knowledge of insurance reimbursement methodologies
Two years related hospital/medical collection experience
Duties
Research all credit balance accounts to determine appropriate refund
Identify/correct account errors that result in overpayments.
Calculate necessary adjustments, discounts, write-offs according to contract or department policy
Idenify and document account if insurance has overpaid, and process refunds to appropriate payer/patient
Notify management of recurring errors
Maintain productivity numbers in compliance with department standard
Provide customer service to carriers, patients and employees needing assistance on patient accounts
Evaluate mail correspondence for refund requests
QUIC buckets are requests received from patient and/or carriers for possible refunds
Send correspondence to patients and carriers to expedite account resolution
Review accounts for legal assistance
Initiate appeals for improper refunds to patients and/or third party payers
Other duties assigned by management
Texas Health Resources, is one of the largest faith-based, nonprofit health care delivery systems in the United States. Texas Health has 13 hospitals with 2,405 licensed hospital beds, employs more than 17,700 people and counts more than 3,200 physicians with active staff privileges at its hospitals. The system serves more than 6.2 million people living in 29 counties in north central Texas. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries.
Texas Health Resources is an equal opportunity employer that celebrates diversity at all levels of our organization. EOE/AA/M/F/D/V
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