Refund Coordinator 1

Title: Refund Coordinator Union: Teamsters 986 Grade: 22 Date: 1/23/2025 Position Summary The Refund Coordinator 1 is responsible for processing all refunds accurately and in a timely manner. This involves handling refund requests efficiently, verifying the validity of each request, managing any required documentation, and effectively communicating with customers about the status of their refunds. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintain the refund database by daily balancing, recording write-off amounts, and processing refund checks. Make regular phone calls about overpayments less than 45 days old. Refer all uncollectible overpayments to CRS after 45 days. Create written communications for providers, members, and other carriers using Microsoft Word software as necessary. Assist in resolving any issues that arise with the Finance department as needed. Prepare a refund request for the fund. Complete daily database balancing 100%. Ability to identify potential problems and trends in processes and escalate them for management review. Ability to identify potential problems and possible solutions for process improvement. Collaboration with colleagues and departments is essential to provide timely and high-quality service. Engage with the Customer Relations Service (CRS) daily to discuss refund close-outs and address any complex issues. Collaborates with colleagues and departments to ensure timely and high-quality service. Provides assistance to participants, co-workers, and vendors in a friendly, courteous, and professional manner. Excels in a team environment with minimal supervision Ensure adherence to departmental quality and productivity standards as specified in the work standards grid. Performs other duties as assigned. Minimum Qualifications High School Diploma or GED. A minimum of two years of experience as a Claims Examiner. Must have proficiency in using a computer. Ensure typing skills meet or exceed the requirements for 35 WPM. *Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice. Working Conditions/Physical Effort Prolonged periods of sitting at a desk and working on a computer. Normal degree of physical effort in typical office environment with comfortable, constant temperatures and absence of objectionable elements. May be subject to interruptions. Must be able to have flexible work schedule when workflow requires. Meets established attendance and punctuality guidelines. Must be able to lift 15-25 pounds at times. Disability Accommodation Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you. Zenith American Solutions Real People. Real Solutions. National Reach. Local Expertise. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before. We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American! We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more! At Zenith American Solutions, we take immense pride in fostering a positive, respectful, and supportive work environment that provides challenging opportunities while supporting a healthy work/ life balance. Our organizational culture is founded on principles of integrity, honesty and respect for all stakeholders, including our employees, clients, and business partners. With a low employee turnover rate and a high rate of internal promotions and transfers, the Zenith team is proud to be a part of an 80-year legacy of excellence. Our employees embody a spirit of integrity, take immense pride in their work, and are enthusiastic about referring others to join our team.