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Refund Specialist (Full Time) - Patient Financial Services

Job Description - Refund Specialist (Full Time) - Patient Financial Services

Description

Staff Position Description


Position Title: Refund Specialist Position Code: SpecRefund-8115


Department: Patient Financial Services Safety Sensitive: No


Reports to: CBO Cash Applications Manager Exempt Status: No


Position Purpose:


All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.


Key Responsibilities [List of material responsibilities and essentials duties which must be completed in achieving the objectives of the position]









· Runs daily credit report and processes all refunds


· Research accounts and documentation to determine validity of refunds


· Process all refunds within two (2) days of assuring credit is valid


· Must balance each batch on a daily basis upon completion of refunds.


· Meets productivity standards for processing refunds


· Provide back up for the Accounts Receivable Clerks when needed


· Participates in business division meetings, performance improvement activities and committees as assigned.



Qualifications [Statements regarding minimum educational and experience qualifications, required proficiencies with specialized knowledge, computer proficiencies, military service, required certifications, etc.]









Education: High School Diploma or Equivalent


Experience: One (1) year experience in balancing and reconciling accounts


Skills and Knowledge: Knowledge of refund processes related to accounts and the ability to review an account and determine the appropriate refund.



Preferences [Preferred attributes for the position which are not absolutely required in the minimum qualifications (i.e., multi-lingual, master’s degree)]









· Education related to Cash Reconciliation, Billing and Collections preferred


· Accounts receivable experience preferred



Special Position Requirements [Optional section: any travel, security, risk, hazard or related special conditions which apply to the position]









Level 1: Primarily but not limited to balancing/reconciling self-pay accounts in a single system.


Level 2: Reconciles Self-pay and Insurance accounts in two systems by utilizing collections experience


· Balancing/reconciling electronic and paper documentation


· Analyzing information to determine accuracy and completeness of work



  • Conducting non-routine research

  • Maintaining site productivity (average of 75 accounts a day) and quality standards

  • Making judgment calls regarding routine duties but refer non-routine situations to a supervisor and/or manager

  • Strong ability to complete multiple tasks per transaction with precision

  • Attention to detail with accuracy


Level 3: Consist of Level 1 & 2 requirements along with the following:



  • Reconciles, collects and re-bills in all systems and on all types of accounts.

  • Must show the ability to evaluate areas of improvement, develop plans to resolve, and provide communication/training to the Business Office or other Departments.



Work Requirements [Optional section: work requirements for physical or other important issues which relate to the job]









Blood Borne Disease Exposure Category: Category III


Ability to sit for six to seven hours daily at a computer terminal; occasionally lifts and carries up to 15 pounds of files to storage area; must be able to deal calmly and effectively with frustrated and/or angry clients.. 



Date Staff Position Description Created / Revised: 02/22/2019



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