RCM Refund Specialist

Allergy Partners•Asheville, NC

1d•Onsite

About The Position

Processing of patient and insurance refunds. Responsibilities include, but are not limited to, the following: Review credits and research patient accounts for both Patient and Insurance. Determine if there is a true credit for patient or Insurance by verifying payment method and pulling remits. Adjust small balances and convey monies. Issue patient credits by writing Refund checks. Prepare the refund checks with detailed reports for Management to review and obtain signature. Run financial reports for accounting to review. Prepare and mail checks. File corresponding copies as backup. Process Returned refunds with accounting department. Attempt contact with patient to re-send refund. Other Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice. Maintains detailed knowledge of practice management and other computer software as it relates to job functions. Attends OSHA, HIPAA, and OIG training programs as required. Attends all meetings as requested including regular staff meetings. Performs any additional duties as requested by the Director of Central Billing Services and/or Manager or Team Leader/ Supervisor. Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes. Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.

Requirements

High school diploma or GED equivalent
Healthcare or related experience required
One to three years of experience, preferably in a healthcare billing setting
Good communication skills, both written and oral
Proficient computer skills including word processing, and data entry
Must have ability to communicate professionally and effectively with management and co-workers
Detail oriented with the ability to detect errors and discrepancies
Ability to work independently and stay focused on task at hand

Responsibilities

Processing of patient and insurance refunds
Review credits and research patient accounts for both Patient and Insurance
Determine if there is a true credit for patient or Insurance by verifying payment method and pulling remits
Adjust small balances and convey monies
Issue patient credits by writing Refund checks
Prepare the refund checks with detailed reports for Management to review and obtain signature
Run financial reports for accounting to review
Prepare and mail checks
File corresponding copies as backup
Process Returned refunds with accounting department
Attempt contact with patient to re-send refund
Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Attends OSHA, HIPAA, and OIG training programs as required
Attends all meetings as requested including regular staff meetings
Performs any additional duties as requested by the Director of Central Billing Services and/or Manager or Team Leader/ Supervisor
Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes
Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline