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Refund Audit Analyst

Location
Nashville, TN

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Profile

Refund Audit Analyst','1837638','','','!*!Summary: Performs audits on refund requests submitted by internal refund staff for accuracy and completeness.
 
 
Essential Duties and Responsibilities:  Include the following. Other duties may be assigned.
 
Objectively reviews and evaluates refund requests from refund analysts within time guidelines
 
Ability to identify error trends and provide feedback to supervisor
 
Maintain internal tracking logs for accurate status of refund requests
 
Develops and coordinates credit balance education and training
 
Provides audit results to Refunds Analysts
 
Demonstrates ability to identify issues outside of workflow process and escalates them when necessary
 
                        Identifies opportunities for improvement within team as well as refund team
 
                        Stays abreast of current policy and procedures related to the refunds and audit processes
 
Recommends changes to processes as appropriate
 
Enters posting adjustment into the practice management system according to credit balance protocol
 
Supervisory Responsibilities:  This job has no supervisory responsibilities
 
Competencies:  To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Collects and researches data; Uses intuition and experience to complement data
Customer Service - Responds promptly to customer needs
Interpersonal Skills - Maintains confidentiality of all patient information and company documents
Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions
Written Communication – Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information
Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position
Quality - Demonstrates accuracy and thoroughness
Quantity - Meets productivity standards
Adaptability - Adapts to changes in the work environment
Attendance/Punctuality - Is consistently at work and on time
 ','!*!Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Education and/or Experience Preferred:  High school diploma or general education degree (GED); and 3 years experience with processing  healthcare refunds including knowledge of insurance billing and coordination of benefits; or equivalent combination of education and experience.
 
Language Skills:  Ability to read and comprehend simple instructions, short correspondence, and memos.  Ability to write simple correspondence.  Ability to effectively present information in one-on-one and small group situations.
 
Reasoning Ability:  Ability to apply common sense understanding to carry out detailed written or oral instructions.  Ability to deal with problems involving a few concrete variables in standardized situations.
 
Computer Skills:  To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.
 
Physical Demands:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  ','Business Office Support','TN-Nashville','**MEMBERS ONLY**SIGN UP NOW***.','','','Day Shift','Day Shift','8','8','40','40','Full-time','Refund Audit Analyst

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