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Added just now
Patient Access Representative
Ascension
Wichita, KS
Schedule: Day Shift | Full-time, 40 hours weekly, Mon-Fri, 8am-5pm · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Indianapolis, IN
Schedule: Day shift | Full-time · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Ascension
Indianapolis, IN
Schedule: Day shift | Full-time · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Field Technician
ASTRO PAK
Fairfield, CA
30–50% night shift work · Willingness to work night shifts, overtime, weekends, and holidays
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Field Technician
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South Plainfield, NJ
30–50% night shift work · Willingness to work night shifts, overtime, weekends, and holidays
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Field Technician
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Ontario, CA
30–50% night shift work · Willingness to work night shifts, overtime, weekends, and holidays
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Registered Nurse Clinic Pediatric Hematology
Ascension
Austin, TX
Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
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Office Operations Assistant
Ascension
Remote, United States
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Dental Hygienist
Ascension
Evansville, IN
High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required.
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Registered Nurse Clinic
Ascension
Evansville, IN
Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
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Mobile Unit Driver
Ascension
Evansville, IN
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Office Operations Assistant
Ascension
Newburgh, IN
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
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Registered Nurse Pre Admission Testing
Ascension
Tulsa, OK
Schedule: Full-time day shift, Monday through Friday, 7:30am-4:00pm OR four 10-Hour shifts, 7:30am-6:00pm, days TBD
Added just now
AE
Warehouse Associate II
Alameda Electrical Distributors & California Service Tool
Chico, CA
- $18 to $22.5 USD / hour
…Northern California! We are looking for a full-time Warehouse Associate II to join our team and support our branch in Chico,…
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TEACHER ASSSISTANT TRAINEE
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Group Medical, Dental and Vision Insurance Agency-Paid Life Insurance and Long-Term Disability Insurance
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Weekend NOC Acute LVN/LPT- Mental Health 632
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Los Angeles, CA
What You Bring to the Table (Must Have)
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Leasing Associate (Lease-Up)
Richman Property Services
Austin, TX
Valid/Active Driver's License required for this position · Valid Driver's License required
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CM
Patient Access Rep III - Financial Clearance PFA Authorization - Full-Time, Days
Cedars-Sinai Medical Center
Los Angeles, CA
- Full-time
…information, including the following: Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers…
Added 1 min ago
CM
Patient Access Rep III - Financial Clearance PFA Authorization - Part-Time, Days
Cedars-Sinai Medical Center
Los Angeles, CA
- Part-time
…information, including the following: Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers…
Added 1 min ago
Service Desk Analyst
CAI
United States
…education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role receive paid time off and may also be entitled…
Added 1 min ago
Service Desk Analyst
CAI
United States
…education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role receive paid time off and may also be entitled…
Added 1 min ago
Bilingual (Spanish/English) Service Desk Analyst
CAI
United States
…education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave…
Added 1 min ago
Service Desk Analyst
CAI
United States
…education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave and/or…
Added 1 min ago
Service Desk Analyst
CAI
United States
…education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave and/or…
Added 2 mins ago
Production Associate - Garment Fulfillment Associate
Cintas
Murfreesboro, TN
Cintas is seeking a Production Associate – Garment Fulfillment Associate to support the Rental Division. The Garment Fulfillment Associate is responsible for performing various production…

UCSF

Credit Refund Representative

San Francisco, CA, United States
Emeryville, CA, United States

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Job details

Experience: Minimum of 2–3 years of experience in a hospital or physician billing office, or an equivalent combination of education, training, and experience.
Posting language: English
Posted: Nov 10, 2026

Original job description

Please note: this is a temporary assignment (6 months) with potential to extend. The Credit/Refund Unit is responsible for analyzing, reviewing, and researching credit balances to determine appropriate refunds to various payees. The unit verifies the legitimacy of incoming credit and refund requests from internal and external customers and ensures the accurate processing of refunds, adjustments, and fund transfers in accordance with established guidelines, policies, procedures, and regulatory requirements. The unit works closely with UCSF Medical Center's Accounts Payable department and affiliated institutions to ensure quality, accuracy, and compliance with UCSF, MGBS, government, and HIPAA standards. The Credit/Refund Representative is responsible for resolving outstanding credit accounts through ongoing communication with insurance payers, other MGBS units, UCSF clinical departments, and external billing agents. The incumbent researches and resolves credit and refund discrepancies, demonstrates proficiency in all aspects of credit and refund processing, and consistently maintains high standards of accuracy, quality, customer service, and regulatory compliance.

Analyze and evaluate insurance claims with credit balances using a stratified approach, as assigned by management.
Research, review, and process insurance and patient credit balances in accordance with established Credit Balance policies and procedures.
Research, review, and process insurance and patient refund requests in accordance with established Refund policies and procedures.
Coordinate with the Hospital regarding the transfer of insurance and patient credit balances resulting from research and account reviews.
Process and post refunds, adjustments, and journal transfers accurately in accordance with applicable policies and procedures.
Apply knowledge of various payer requirements and regulations, including PPO, EPO, HMO, and commercial insurance plans.
Communicate effectively with insurance payers, patients, UCSF departments, and external billing agents to resolve credit balance and refund inquiries.
Utilize various computer applications and information systems, including Microsoft Excel, Word, Outlook, APeX, WebXtender, and other systems necessary for credit balance research, refund processing, journal transfers, and payment posting.
Retrieve and verify all required account information to determine accurate credit balances and appropriate refund recipients.
Prepare and submit refund check requests, including detailed supporting documentation, to management for review and approval.
Communicate with insurance payers regarding the justification of payment takebacks and the resolution of unidentified payments.
Prepare and submit refund check request batches to Medical Center Accounts Payable for processing.
Research and diligently process returned refund checks issued by MGBS, identifying and addressing the reasons for their return.
Prepare batch summaries, organize supporting documentation, and maintain records for filing.
Identify and communicate potential procedural changes and process improvement opportunities to management to enhance operational efficiency.
Actively participate in monthly Continuous Quality Improvement (CQI) and Key Performance Indicator (KPI) meetings, including monthly one-on-one meetings, as well as unit and team meetings to support ongoing learning and operational improvements.
Perform special projects and other duties as assigned by the Assistant Manager or Manager.

Required:

Minimum of 2–3 years of experience in a hospital or physician billing office, or an equivalent combination of education, training, and experience.
Flexibility to orient and work at all UCSF Medical Center locations.
Knowledge of CPT and ICD-9 or ICD-10 coding.
Experience with denials management and all aspects of billing and follow-up.
Proficiency in Microsoft Excel and Outlook.
Strong organizational, interpersonal, verbal, and written communication skills.
Ability to work effectively in a changing environment while managing multiple priorities and tasks.
Demonstrated time management skills, including the ability to prioritize assignments and meet deadlines.
Ability to work independently and collaboratively as part of a team.
Ability to consistently meet productivity and quality standards.
Strong customer service skills and a positive, professional attitude.
Demonstrated ability to coach and mentor staff to achieve optimal results.
Ability to establish priorities, goals, and objectives.
Excellent attendance and reliability.

Preferred:

Prior experience with the EPIC (APeX) system.
Certified Professional Coder (CPC) credential.
Associate's or bachelor's degree.

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More about this job

Skills

Accounts payable
Communication skills
Process refunds
Customer service
Regulatory compliance
Research
Microsoft Excel
Microsoft Word
Microsoft Outlook
Documentation
Process improvement
CPT
Time management
Meet deadlines
Work independently
EPIC

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Work requirements

Jobs in the United States