Refund Specialist
- Investigate insurance refund requests received via mail and take appropriate action.
- Investigate self-pay credit balances based on reporting and take appropriate action, including reallocation to open balances.
- Investigate insurance credit balances based on reporting and take appropriate action.
- Analyze all accounts for the legitimacy of the refund and rectify false credits on accounts.
- Works with the customer experience specialist to process refunds prompted by patient phone calls.
- Resolve unapplied cash on account in system.
- Process mail returns on refund checks.
- Report to RCM team on completed, pending, or outstanding refunds as needed.
- Other duties as assigned by supervisor.
- Requires well-developed organizational skills and basic office operations to assure appropriate documentation and follow-through to meet the patient and department needs.
- Demonstrates a patient-focused attitude - committed to providing excellent service to all patients, staff, and visitors.
- Willingness to assist with genuine interest in the well-being of others.
- Must demonstrate ability to work in fast-paced, deadline-oriented environment where the ability to meet deadlines is a must with constant communication required.
- Demonstrates proficient computer skills including accurate data entry into Microsoft Excel, as well as documentation and communication through Microsoft Outlook and various EMRs.
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