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Refund Clerk
Refund ClerkCity of Hope • Irwindale, CA
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Refund Clerk

Refund Clerk

City of Hope • Irwindale, CA
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Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission : To deliver the cures of tomorrow to the people who need them today.

Position Summary :

To efficiently resolve credit balances by thoroughly analyzing, calculating and identifying true refunds.

Key Responsibilities include :

  • Review and analyze insurance and patient refund requests received.
  • Able to calculate expected reimbursement based on payor contracts and assess true overpayments.
  • Prepares all necessary documentation to support the refund requests.
  • Ensures that all approved refunds are logged and reconciled with the Finance Department.
  • Post all approved refunds in the patient ledger.
  • Responds timely and accurately to all incoming related refund calls and correspondence inquiries from payers, patients and other authorized parties.
  • Maintains the undistributed account balance to minimum dollar threshold as required per department policies.

Organizational Expectations :

  • Demonstrates behavior that supports the City of Hope Medical Foundation’s mission.
  • Attends required orientation and training seminars.
  • Meets production standards within established time requirements.
  • Work product and performance meets quality standards.
  • Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers, and co-workers—a team player.
  • Maintains confidentiality of patient care and business matters.
  • Observes time, attendance, and dress code standards.
  • Protects the safety of others and of the physical plant and equipment, following institution policies, fire, safety and infection control regulations.
  • Qualifications

    Your qualifications should include :

  • High School diploma
  • Two (2) to five (5) years’ experience in Revenue Cycle healthcare; hospital, medical group or Independent Practice Association (IPA).
  • Has thorough knowledge of HMO, PPO, POS coverage rules
  • Additional Information :

  • There are 2 positions available
  • City of Hope employees pay is based on the following criteria : work experience, qualifications, and work location.

    City of Hope is an equal opportunity employer.

    To learn more about our Comprehensive Benefits, please CLICK HERE.

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    Clerk • Irwindale, CA

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