Refund Specialist

Audits

Audits patient accounts to resolve all credits and undistributed activity. Thoroughly researches and resolves all credits as assigned through daily distributions and reports.

Payment Posting

Reviews carrier explanation of benefits to determine accurate reflection of carrier, provider and patient responsibility. Opens payment posting or adjustment batch to perform appropriate account maintenance activity to appropriately balance claim activity. Accurately distributes or redistributes payments and adjustments to correct invoice and date of service. Generates any adjustments necessary to complete correct posting of payments and adjustments using appropriate A/R and ANSI codes. Ensures accurate transfer of outstanding balances to next responsible party as indicated by payer explanation of benefits.

Training

Assist with training of new employees.

Refunds

Compiles and submits patient and insurance refunds according to established policy and procedure with all supporting documentation. Reviews and files all secondary insurance claims attaching carrier explanations of benefits for designated plans. Completes clear and accurate account notes to document issue, source and resolution of all account maintenance activity. Obtains supervisor signature on all large dollar write-offs according to established policy. Follows establish guidelines to complete all report activity to meet month end deadlines. Documents of daily performance in weekly productivity log.

Credit Card Refunds

Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. Distributes daily credit batches to staff. 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