A/R & REFUND SPECIALIST

Position Highlights

The Accounts Receivable and Refund (A/R) Specialist is responsible for ensuring Accounts Receivable is properly recorded through the analysis and resolution of credit balances in the patient accounting system. Resolution will include investigating accounts through review of the patient accounting notes, EOBs (Explanation of Benefits), and payer remittance advices, and determining if refund checks or adjustments are needed. The Accounts Receivable and Refund Specialist will then prepare and process refund requests, adjustments, cash corrections and voids.

Responsibilities

• Work credit balance work lists in accordance with department operational guidelines.
• Prepare documentation for patient and payer refunds.
• Ensure the patient accounting system reflects payment information accurately.
• Investigate and resolve credits caused by payer allocation errors (obsoletes).
• Process Corporate Compliance and Charge correction projects.
• Credit balance with adjustment report
• Other duties as assigned.

Credentials and Qualifications

• High School/GED plus a minimum five (5) years experience in a health care setting (Hospital, medical office, payer), working in revenue cycle (OR)
• A/AAS Degree plus a minimum three (3) years experience in a health care setting (Hospital, medical office, payer), working in revenue cycle

Salary Range

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions. We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.