Refunds Representative (Hybrid)

Memorial Hermann Health System; Houston (TX); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Memorial Hermann Health System is seeking an experienced accountant-like role to analyze overpayments in patient accounts and determine refunds or corrections. The position is based at the Memorial City campus in Houston with a hybrid schedule (2 days on-site).

Minimum qualifications include a High School Diploma or GED and 2 years of hospital business office experience preferred. Proficiency in Excel and math, plus strong multitasking, are valued for this role.

Qualifications

• Education: High School Diploma or GED.
• Licenses/Certifications: None.
• Experience/Knowledge/Skills: Two (2) years hospital business office or medical-related experience preferred; proficient in Microsoft Office, Excel, 10-key and math skills; able to multitask in a fast-paced, high-volume environment.

Responsibilities

• Review patient account credits to determine refunds or corrections.
• Apply proper insurance rules in refund calculations.
• Verify refund status across multiple patient accounts.
• Coordinate benefits with insurers to resolve discrepancies.
• Respond to inquiries from patients, representatives, and insurers about refunds.
• Prepare refund invoices for overpayments and maintain status records.
• Meet productivity goals set by management.
• Uphold safety and adhere to Memorial Hermann policies and budget constraints.
• Support professional growth and act as a mentor to less experienced staff.

Skills

Excel

10-key

Math skills

Multi-tasking

Education

High School Diploma or GED

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Position is responsible for analyzing overpayments to patient accounts, researching account payment history and determining the appropriate refund or correction transaction.

Job Description

Location

Memorial City campus - 920 Frostwood Drive, Houston Texas 77024

Work Setting

Hybrid schedule - 2 days per month onsite

Minimum Qualifications

Education: High School Diploma or GED

Licenses/Certifications: (None)

Experience / Knowledge / Skills:

• Two (2) years of hospital business office or medical related experience preferred
• Some knowledge of Medicare/Medicaid/Managed Care reimbursement procedures in a healthcare setting preferred but not required
• Proficient in Microsoft Office with emphasis on Excel, 10-key and math skills
• Multi-tasking in a fast paced, high volume environment

Principal Accountabilities

• Reviews patient account credit balance to determine required transaction. Makes the appropriate refund, adjustment, or correction entry as necessary.
• Ensures the proper insurance rules and policies are applied in performing calculations for refund transactions.
• Verifies status of multiple patient accounts and determines if refund is to be applied to other accounts.
• Assists insurance companies in the coordination of benefits to resolve account discrepancies.
• Responds to inquiries from patients, patient representatives, and/or insurance companies regarding the refund status of patient accounts.
• Prepares refund invoices required for processing overpayments. Maintains refund status records for designated accounts in order to ensure compliance with government regulations.
• Maintain all productivity goals assigned by management.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.