Refund Specialist

US Acute Care Solutions • Canton, OH

80d • $14 - $26

About The Position

The Refund Specialist researches patient accounts on all requested refunds to determine if applied payment should be refunded. The Refund Specialist reviews the explanation of benefits and contacts insurance carriers for additional information. This position is remote, but may require occasional onsite meeting attendance in the Corporate Offices, located in Canton, OH.

Requirements

• High school diploma or equivalent.
• At least one year of combined experience in medical insurance, payment processing or insurance follow-up.
• Thorough knowledge of the payment processing functions and all related issues.
• Knowledge of and skill in using personal computers in a Windows environment. Emphasis on basic spreadsheet applications and data entry.
• Knowledge of medical insurance/government payors and related terminology.
• Ability to pay close attention to detail.
• Ability to identify, research and solve problems and discrepancies.
• Ability to communicate with coworkers, management, and third-party payors in a courteous and professional manner.
• Ability to maintain confidentiality.
• Ability to process assigned duties in an organized manner.
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
• Ability to effectively perform in a multi-task environment.
• Ability to work overtime when needed.

Responsibilities

• Determine if applied payments should be refunded by researching patient accounts on all requested refunds or credit balances.
• Confirm how payment was applied to patient's account by reviewing explanation of benefits.
• Communicate with insurance carriers via phone to gather additional information needed to process requested refund.
• Perform all necessary adjustments within guarantor account and/or enters adjustments for refund when applicable.
• Enter all necessary notations in the system to allow for proper communication and tracking.
• Enter refunds into the billing system.
• Maintain corresponding back up documentation on all adjusted and refunded accounts.
• Perform and assist with other department duties as needed.

Benefits

• Best in class benefit programs with a wide array of options.

What This Job Offers

• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees