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UCLA Health Hospital Credit and Refund Specialist in Los Angeles, California

Description

As the Credit and Refunds Specialist, you will be responsible for:

  • Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken

  • Reviewing and processing refunds/credit balances in each liability bucket regardless of the services line and responding to correspondence and heavy telephone contact to ensure timely follow-up and account resolution

  • Performing all required duties within the patient accounting systems

  • Following refund and reimbursement procedures and, after researching credit balances

  • Prepare and process refund packets

Salary range: $25.71-$36.52/hourlyQualifications

We are seeking a detail-oriented, diplomatic individual with:

  • A minimum of 2 years' experience in hospital/facility collections experience with strong emphasis on managed care contracts and appeals/underpayment collection activities

  • Strong analytical skills, proficient with spreadsheets

  • Knowledge of MS Word and MS Excel software

  • Knowledge of medical terminology

  • Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliation

  • Knowledge of Revenue Codes, CPT, HCPCS, Diagnosis and Procedure Codes

  • Interpersonal skills, including the ability to interact diplomatically, but assertively with the public either on the telephone or in person

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.

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