What are the responsibilities and job description for the REFUND SPECIALIST position at Mt?
REFUND SPECIALIST
JOB SUMMARY
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General Summary: Responsible for the identifying and processing of all insurance and patient credit balances for resolution. Refunds will be appropriately investigated and processed following proper accounting methods and established procedures. The Refund Specialist will interact with physicians, administration, clinical, accounting and staff personnel to resolve credit balance issues.
Principal Duties and Responsibilities:
- Procedural Knowledge
- Responsible for the resolution of credit balances for insurance and patient balances
- Initiate refunds, offsets, and adjustments
- Exchanges information with individuals outside the assigned department or institution
- Ability to analyze, research and answers refund questions.
- Responsible for the reconciliation of refunds to the Expanse billing system
- Interacts closely with the Patient Accounting staff when refund/balance problems occur.
- Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
- Follow liability policies and established workflows
- Assists with payment posting and month-end closing.
POSITION REQUIREMENTS
Educational Requirements
High School Diploma or GED
Licensure, Certification and Registration
NA
Work Orientation and Experience
3 years prior experience in hospital collections. Strong payer knowledge base. Extremely accurate with figures and data entry.
Knowledge, Skills and Abilities
Strong analytical skill a must.
Must be able to work unsupervised.
Must be able to work with a calculator, PC and Excel, Outlook and Word
Ability to multitask and remain focused in a fast paced environment
All other duties as assigned or requested
Other Requirements Specific to Assigned Area
REPORTING RELATIONSHIPS
Supervision Received
Patient Accounting Manager. Patient Accounting Director.
Supervision Exercised
NA
INTERPERSONAL RELATIONSHIPS
Communicates daily in person or by telephone with hospital staff and insurance companies. Must also be able to
handle sensitive situations in a professional manner.
TOOLS/EQUIPMENT USED
Calculator, Facsimile machine, PC, Telephone, Internet, Copy machine, Printer.
PHYSICAL ENVIRONMENT/WORKING CONDITIONS
Typical health care environment, stress due to multiple demands, shifting priorities and tight timeframes. Little or no risk of exposure to body fluids, infectious waste or blood borne disease.
This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.
Revised 3/3/20