Credit & Refund Specialist

Location:

Calmont Operations Building

Department:

SBO/PT Financial Services

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Credit & Refund Specialist is responsible for facilitating resolution of a high volume of credit balances and refunds through attention to detail, problem-solving initiative, and dedication to efficient services for patients and insurance companies. Conducts research of various payer contracts to determine appropriate reimbursement amounts, providing adequate documentation, and processing refunds, transferring balances and completing contractual adjustments.The Cook Childrens Cash Management, Customer Service and Document Control departments function as a part of a Single Billing Office (SBO) that supports all of Cook Childrens Health Care System. The ultimate goal of the SBO is to integrate customer Service and self-pay collection activities across Cook Childrens Medical Center and Cook Childrens Physician Network, providing a single point of contact, a single patient billing statement and increased transparency to guarantors thereby improving the patient collection process and patient experience.

Qualifications:

Minimum:

• High school diploma or equivalent.

• 1 year of experience working with third party insurance, claims follow-up, cash posting and/or general ledger accounting in a healthcare setting.

• Ability to type, spell, write or print legibly with accurate data entry skills and use computer and other office equipment.

• Ability to perform complex mathematical calculations.

Preferred:

• Associates Degree

• 3 years of experience working with working with third party insurance, claims follow-up, cash posting and/or general ledger accounting in a healthcare setting.

• Ability to type, spell, write or print legibly with accurate data entry skills.

• Proficient computer skills, including MS Office (Word, Excel).

• Knowledge of Epic Systems and/or equivalent cash management system.

• Working knowledge of professional and hospital billing and follow-up preferred.

About Cook Children’s:

Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.

At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible.
 

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.