Refund Analyst

CommonSpirit Health; Rancho Cordova (CA); On-site; USD 34,000 - 45,000; Full time

Job summary

Dignity Health Medical Foundation, based in California, seeks a Refunds Analyst to handle accounts receivable tasks focused on Payor Rules, contract language, and DOFR interpretation. You will review EOBs, offsets and takebacks, ensuring refunds are processed accurately and timely.

The role requires 1 year of medical billing experience, proficiency in Word/Excel, and strong math skills. You will coordinate with payors and resolve complex issues using available tools.

Qualifications

• High School Diploma or GED required.
• 1 year experience in professional medical billing.
• Proficiency in MS Word and Excel.
• Knowledge of contract adjustments, deductibles, denial types and EOBs.
• High level of math ability and 10 key experience.
• Working knowledge of Email systems and Internet.

Responsibilities

• Demonstrate understanding of accounts receivable and refunds: Payor Rules, contract language, CCI coding, DOFR interpretation, and how transactions affect accounts.
• Determine correct systems to locate info: IDX, MPV, Medical Records Systems, Insurance Payor Web Sites, Code Correct Web Site.
• Manage multiple expectations, tasks and deadlines effectively.
• Timely review of electronic communication to stay informed of changes affecting position.
• Proactively organize and manage caseload to ensure refunds are completed timely to avoid offsets.
• Independently research and resolve intermediate to complex issues with available resources and tools.

Skills

Math ability

Time management

MS Office proficiency

Education

High School Diploma or GED

Tools

MS Word

Excel

Job description

*Job Summary and Responsibilities*

• Demonstrate a solid understanding of accounts receivable and your role as a Refunds Analyst: Payor Rules & Regulations, Understanding contract language, CCI Coding Issues, Read and interpret DOFR, Comprehend how transactions affect account, Coordination of Benefits rules, Offsets / Takebacks, Payment Posting
• Ability to determine correct systems to locate pertinent info: IDX, MPV, Medical Records Systems, Insurance Payor Web Sites, Code Correct Web Site
• Ability to manage multiple expectations, tasks and deadlines effectively
• Timely review of electronic communication to stay informed of changes that affect your position
• Proactively organize and manage case load to ensure refunds are completed timely to avoid offsets
• Ability to independently research and resolve intermediate to complex issues with available resources and tools

*Job Requirements**Required*

• High School Diploma or GED
• 1 year experience in professional medical billing office
• Demonstrated proficiency in MS office software applications with emphasis in Word and Excel
• Knowledge of contract adjustments, deductibles, denial types and other messages on third party documentation, including EOB's
• High level of math ability and 10 key experience
• Working knowledge of computers and demonstrated proficiency in using Email systems and Internet

Where You'll Work

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

*Pay Range*

$25.00 - $32.99 /hour