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Refunds Specialist

5 months ago

Houston, United States Medical AR Management Services, LLC Full time
Job DescriptionJob Description

Position Summary: The Refunds Specialist analyzes data to determine whether or not a refund is
warranted, based on contractual agreements and payments received, and administers refunds
accordingly.

Job Duties

  • Professionally represent client as client billing office
  • Review EOBs and ensure allowances, adjustments, unallocated payments, and overpayments
    are posted correctly
  • Review and resolve accounts with credit balances/request refunds and/or adjustments as
    necessary
  • Generate reports to identify outstanding credit balances and prepare overpayment packages as
    necessary
  • 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 needs

Required Knowledge, Skills, and Abilities

  • Preferably, 1 year medical refund processing/insurance collection experience
  • 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 player

This 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.