AR Refund Specialist 2

Essential Duties & Responsibilities

• Reviews refund/overpayment requests from insurance payers to determine if an overpayment has occurred.
• Reviews and resolves credit balances through credit transfers, account corrections, and refund request form completion for manual refund check requests.
• Identifies root causes and trends contributing to patient and insurance credit balances and works collaboratively with all areas of the revenue cycle to improve efficiency and eliminate these issues.
• Posts debits for approved refunds.
• Researches returned checks and collaborates with Accounts Payable for reporting to unclaimed property.
• Solves Department credit balance inquiries for transfers and refund check requests.
• Able to work collaboratively and build positive business relationships with clinical areas and the payer community.

Minimum Requirements & Competencies

• Associate’s degree in accounting, business, finance, or an equivalent combination of training and experience with revenue 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 complex 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 Excel and financial analysis related to physician reimbursement.

Salary Range: $18.00 - $20.00 per hour.

Travel: Minimal.