Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Nashville, TN
View more jobs in Tennessee
View Similar Jobs

Job Details

Refund Audit Analyst

Location
Nashville, TN

Apply for this job






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

Company info

Sign Up Now - AuditorCrossing.com

Similar Jobs:
Premium Auditor
Location : Nashville, TN
Premium Auditor in Nashville Tennessee Overview Overland Solutionsis the leading provider of insurance premium audits. We have over 75 years of experience with premium audits in every state. We take client service seriously; and ...
Manager Physician Coding Audit and Appeals Community Health Systems • Brentwood TN Job #756725224 Description: Summary: The Manager of Corporate Coding Services primarily acts as a liaison for the hospital and corporate coders. Es...
Audit Senior Manager
Location : Franklin, TN
We’re Elliott Davis, and we’re revolutionizing what it means to work in the public accounting field. Starting with a powerful mixture of wisdom, energy and fresh perspective, we dig deep, finding the courage to challenge every com...
I was very pleased with the AuditorCrossing. I found a great position within a short amount of time … I definitely recommend this to anyone looking for a better opportunity.
Jose M - Santa Cruz, CA
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
AuditorCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
AuditorCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 AuditorCrossing - All rights reserved. 169