Refund Specialist

US Digestive Health • Wyomissing, PA

just now • Onsite

About The Position

This employee is responsible for researching and resolving all patient and insurance credit balances and requests for refunds in a timely manner as well as reconciling payments and posting any outstanding payments or credits.

Requirements

• 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.
• High School Diploma or equivalent

Nice To Haves

• Minimum 3-5 years of experience in refunds processing preferred but not required.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED