Billing & Collections Representative II – Refunds – PFS – RCSSD in San Diego, California

JOB SUMMARY:

Billing & Collections Rep II-Refunds The overall objective is to process credit balances on accounts. The incumbent will assume responsibility for identifying, researching, analyzing & resolving credit balances on accounts. Incumbent is responsible for working credit balance accounts within an assigned system work queue. Following established departmental policy, appropriate action to resolve credit balance will be taken. This may include performing appropriate adjustments, transferring credit to the appropriate transaction & processing refunds to patient/guarantor & insurance companies. If a refund or adjustment is required incumbent is responsible for submitting adjustment and/or refund request to Supervisor for approval. Appropriate documentation to support the request must be attached. Performs other duties, as assigned. Works collaboratively, professionally & courteously with internal & external RCHSD departments, patients, payors & others, as required.

MINIMUM QUALIFICATIONS:

H.S. Diploma, GED, or Equivalent

3 Years of Experience

Ability to think analytically

In Depth Knowledge of insurance plans and processing

Previous experience in a healthcare environment

3 years medical billing experience required

The expected hiring range for this position is $22.00 to $30.26

Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

EOE including disability/vet