Job Description

Overview

Under general supervision, applies insurance and self-pay payment refunds on patient’s hospital accounts for the University of Maryland Medical Systems Central Business Office. Contacts insurance carriers for information and/or clarification regarding financial reimbursement or rejections.

Key Responsibilities

Identifies accounts with a credit balance that may be eligible for refunds. Researches all documentation relating to the account balance such as notes, remittances, etc. Analyzes all documentation provided to verify all payments and adjustments are posted to the account accurately. Processes refunds to patient accounts, maintaining appropriate knowledge and understanding of the payers.Reviews multiple hospital systems for outstanding self–pay balances. Transfers credit to outstanding accounts, corrects any incorrect payment/adjustment postings.Prepares refund request with all required documentation to be submitted Refund Specialist Team Lead and/or Manager for approval. Approved request are posted and reports are prepared for accounting requesting refund checks.Reviews checks received from accounting for accuracy. Verifies checks are aligned with required documentation; ensures each account is notated with check number and amount and mailed to appropriate insurance companies.Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

QualificationsHigh School diploma or equivalent (GED)One year cash posting or related experience

Experience

Two years’ refund or accounts receivable experienceKnowledge of payment reimbursement rules and contractual requirements from various payersAdditional Information

All your information will be kept confidential according to EEO guidelines.