Refund Specialist

Concentra•Linthicum, MD

13d•Onsite

About The Position

The Central Billing Office (CBO) Refund Specialist performs a variety of tasks researching refund requests, overpayments, and credit balances. The Specialist ensures money is correctly applied and overpayments are refunded to the appropriate party. Concentra is a national health care company focused on improving America’s workforce, one patient at a time. Through our affiliated clinicians, we provide occupational medicine, urgent care, primary care, physical therapy, and wellness services. Concentra also serves employers by providing a broad range of onsite health services in worksite medical facilities.

Requirements

High school diploma or GED equivalent
At least one or more years of experience in accounts receivable or payment posting
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
Familiarity with Microsoft Excel, Outlook, Word
Ability to communicate effectively
Time management and organizational skills
Familiarity with refund process
Familiarity with medical coding
Analytical and data entry skills
Ability to operate 10-key numeric pad by touch

Nice To Haves

Some college or specialty training in medical billing or equivalent job relevant experience preferred

Responsibilities

Analyze and resolve credit balances on medical billing system
Review and respond to various patient, customer, or insurance refund requests
Understand payer contracts and prepare refund requests accordingly
Review refund requests or credit balances on daily basis for completeness by comparing documentation against specific supporting back-up
Submit refund requests in good order to appropriate supervisor for approval
Prepare refund request forms and supporting documentation regarding overpayments
Identify and share payment/adjustment trends with supervisor to assist in on-going training of CBO colleagues
Perform daily, weekly, and monthly balancing of all posting activity
Identify billing errors, inaccurate payments or posting errors to resolve balances on practice management system
Research credits on account receivables, unapplied balances and resolves balances
Reconcile receipt summaries and resolves balances
Contact payers (non-injury and injury) to determine if payments can be applied and process paperwork for payment transfer
Research and process refund transactions such as duplicate payments and checks received in error
Research and transfer unidentified payments to appropriate accounts/charges where approved
Research and pull copies of previously paid checks
Process refund request spreadsheets/forms and makes appropriate copies
Submit electronic refund requests to accounts payable with manager approval and documents request date
File and maintain refund copies