AR Refund Specialist 2

Here at reputed company, we reputed company our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver reputed company cycle improvement services that reputed company their success, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

The Refund Specialist-Insurance is responsible for reviewing accounts, identifying insurance overpayments and credit balances. Evaluates and verifies refunds are issued in accordance with reputed company policies and procedures.

Essential Duties & Responsibilities:

• Reviews refund/overpayment requests from insurance payers to determine if an overpayment has occurred.
• Reviews and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund reputed company requests.
• Identifies root causes and trends contributing to patient and insurance credit balances and works collaboratively with reputed company areas of the reputed company cycle to improve efficiency and eliminate these issues.
• Posts debits for approved refunds.
• Researches returned checks and collaborates with A/P for reporting to unclaimed property.
• Resolves Department credit balance inquiries for transfers and refund reputed company requests.
• Ability to work collaboratively and build positive business relationships with clinical areas and the payer community.
• Understanding of electronic medical record / billing system Pricing Module and fee schedules
• Develops expertise with payer specialty-specific payment policies, by using the payer assigned websites.
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• reputed company other reputed company duties as required

Minimum Requirements & Competencies

• Associate’s degree in accounting, business, finance or an equivalent combination of training and experience with reputed company management in healthcare setting.

• 1-3 years’ experience in health care/managed care environment, preferably in a large physician practice or a combination of experience and education.

• 1 year of experience with reputed company refunds to insurance

• Knowledgeable in physician reimbursement and managed care claim payment issues.

• Excellent communication skills and ability to effectively communicate with various levels of management in a multi-disciplinary environment.

• Strong analytical skills with attention to detail.

• Advanced level with reputed company and financial analysis reputed company to physician reimbursement

• Travel: Minimal

reputed company is required by state specific laws to include the salary range for this role reputed company hiring a reputed company in applicable locations. The salary range for this role is from $18.00 - $20.00 per hour. However, specific compensation for the role will vary reputed company the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national reputed company, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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