Financial posting & refund specialist i, hybrid

Job Requirements

Under general supervision, applies insurance and self-pay payment refunds on patient’s hospital accounts for the University of Maryland Medical Systems Central Business Office. Contacts insurance carriers for information and/or clarification regarding financial reimbursement or rejections.

Identifies accounts with a credit balance that may be eligible for refunds. Researches all documentation relating to the account balance such as notes, remittances, etc.

Analyzes all documentation provided to verify all payments and adjustments are posted to the account accurately. Processes refunds to patient accounts, maintaining appropriate knowledge and understanding of the payers.

Reviews multiple hospital systems for outstanding self–pay balances. Transfers credit to outstanding accounts, corrects any incorrect payment/adjustment postings.

Prepares refund request with all required documentation to be submitted Refund Specialist Team Lead and/or Manager for approval. Approved request are posted and reports are prepared for accounting requesting refund checks.

Reviews checks received from accounting for accuracy. Verifies checks are aligned with required documentation; ensures each account is notated with check number and amount and mailed to appropriate insurance companies.

Work Experience

Education

High school diploma or equivalent (GED)

Experience

One year cash positing or related experience

Preferred

Two years’ refund or accounts receivable experience

Knowledge of payment reimbursement rules and contractual requirements from various payers