Refunds Specialist

Company: Medical AR Management Services, LLC
Location: Houston
Posted on: June 25, 2022

Job Description:

Position Summary: The Refunds Specialist analyzes data to determine whether or not a refund iswarranted, based on contractual agreements and payments received, and administers refundsaccordingly.Job Duties

• Professionally represent client as client billing office
• Review EOBs and ensure allowances, adjustments, unallocated payments, and overpaymentsare posted correctly
• Review and resolve accounts with credit balances/request refunds and/or adjustments asnecessary
• Generate reports to identify outstanding credit balances and prepare overpayment packages asnecessary
• Initiate and work up refund requests for overpayments
• Process refunds and credit balances to payers
• Identify account problems, patterns, and trends
• Assist with additional payment-related functions as necessary
• Assist and respond to reports in a professional manner
• Comply with state/federal regulations and adhere to HIPAA and PHI guidelines
• Perform other duties as assigned to meet business needsRequired Knowledge, Skills, and Abilities
  • 2+ years of experience working with medical refunds
  • Knowledge of health insurance
  • High School Diploma or equivalent, Associate's Degree preferred
  • Strong attention to detail
  • 10-key by touch
  • Understanding of Electronic Response Admittances (ERAs) and Explanation of Benefits (EOBs)
  • Prioritize and manage multiple responsibilities
  • Professionalism
  • Excellent communication and customer service skills
  • Basic computer knowledge (Windows, MS Word, MS Excel, Internet)
  • Comfortable with computer use, online resources, and learning new software
  • Commitment to superior customer service
  • Team playerThis is an overview of the position and does not lists all responsibilities. You might be asked by management to perform other duties or projects as needed. This job description does not represent a promise or contract of employment. MedAR is an "At-Will Employer." An employee may resign at any time and the employer may terminate their employment at any time, with or without cause and with or without notice. MedAR is an equal opportunity employer. Our employment and promotion policies are based on the measurement of each individual's skill, competence, initiative, and other pertinent job-related factors.

Keywords: Medical AR Management Services, LLC, Houston , Refunds Specialist, Other , Houston, Texas