Refund Representative I

Sarasota Memorial Health Care System • Sarasota, FL

9d

About The Position

This position is within the Patient Financial Services department and is responsible for processing refunds, researching, and reviewing credit balance accounts. The role involves pulling files, insurance EOBs, and zero statements to investigate accounts with credit balances and issue refunds to the appropriate party. The Refund Representative will also address patient inquiries regarding credit balances, make necessary account adjustments using the patient account system, and process incoming mail related to credit balances. Additionally, the role encompasses performing other assigned duties.

Requirements

• A minimum of one (1) year of relevant healthcare or cash posting experience.
• An Associate's degree or higher in a relevant field can be considered in lieu of the required experience.

Nice To Haves

• Strong written and verbal communication skills with the ability to communicate effectively with a distinct speaking voice and good listening skills.
• Demonstrated ability to type a minimum of forty-five (45) words per minute, as well as, ten- (10-) key adding abilities.
• Organizational skills and an understanding of the importance of internal controls.
• Ability to interact with the public and handle difficult situations diplomatically.
• Working knowledge of Managed Care, Medicare, and Medicaid reimbursements.

Responsibilities

• Researches and reviews credit balance accounts.
• Pulls files, insurance EOBs, and zero statements to research and review accounts with credit balances.
• Refunds the proper party based on completed research.
• Answers patient questions concerning credit balances.
• Corrects accounts via the patient account system that need adjustments to update status.
• Works all incoming mail concerning credit balances.
• Performs all other duties as assigned.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED