Refund Analyst Jobs in California (NOW HIRING)

IS THIS POSITION RIGHT FOR YOU?
The ideal candidate is smart, organized, and currently working in a hospital Patient Financial Services (PFS) department and has 5+ years of claims, billing, collections, OR healthcare PFS experience and 5+ years of customer service experience with analyzing and solving customer problems. They desire a new challenge, working for a company where their talents are appreciated and advancement opportunities are based upon performance, not seniority. They love analyzing accounts, solving problems, and will work relentlessly to resolve every account accurately and efficiently.
This is an evergreen job posting. We continuously accept applications for this role as part of our ongoing hiring needs.
RESPONSIBILITIES:
• Resolve credit balance accounts: Analyzing contracts, pulling all relevant documentation, and making all necessary calls to payers, patients, etc. as needed while ensuring compliance with regulations, unclaimed property laws, patient refund policies and contractual obligations.
• Quality Assurance: Reviews all work for accuracy, adhering to provider and Crossroads Health internal controls to ensure 100% accuracy.
• Request records, proof of timely filing, and other documents from hospital clients.
• Prepare adjustment requests and back up documentation for hospital clients.
. Generate refund cover letters, UB's medical records, etc. as needed.
• Assist clients with re-billing claims as needed for appeals.
• Notate system of record thoroughly and accurately.
• Other responsibilities as assigned.
MINIMUM REQUIREMENTS/QUALIFICATIONS:
• High school diploma / GED (or higher)
• Three (3) or more years of recent PFS experience.
• High proficiency with computer and Windows PC applications
• Understanding of medical terminology for billing and account resolution essential.
• Ability to read, analyze, and interpret hospital medical bills, records, statutes, contracts and other relevant documents.
• Experience with one or more EHR & supporting hospital systems, such as Epic, Cerner, Meditech, Athena, Paragon, ePremis, One Content, etc.
• Experience with one or more of the following in a healthcare setting: credit balances, cash posting, pricing, claims review, or EOB review.
• A focused, organized, and detail-oriented approach to work.
• Excellent indirect and direct communication skills.
• Ability to pass a thorough background check and drug screen.
• Ability to perform critical work under deadlines.
• Ability to work with minimal supervision.
• Ability to work in a changing environment and handle multiple tasks.
• Ability to travel occasionally (<10%), locally and nationally.
PREFERRED (NOT REQUIRED):
• Bachelor's degree in a related field.
• Certified Revenue Cycle Representative (CRCR).
• Expert proficiency with Excel (pivot tables, etc.), InfoPath and Access.
• Highly innovative individual, who is a bold decision maker, able to work in a dynamic and fast paced environment.
WORK ENVIRONMENT:
Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse, speaking, listening using a phone/headset. Business office environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
ABOUT CROSSROADS HEALTH:
Crossroads Health is a revenue cycle company exclusively serving hospitals and healthcare providers. Our mission is to identify, analyze, and resolve EVERY CREDIT BALANCE to help healthcare PROVIDERS realize more revenue, meet compliance obligations, and limit future credits.
COMPENSATION & BENEFITS
Full-time. Pay $19-26 commensurate with experience. Paid training, vacation, and holidays. 401k, Medical, Vision, Dental.
Crossroads health is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
This employer participates in E-Verify and upon the start of employment will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.