Refund Specialist
2 weeks ago
Job Type
Full-time
Description
This position is a full-time, permanent non-clinical position onsite or remote in state within Tennessee Orthopaedic Alliance in Columbia, TN.
The Refund Specialist is an important part of the TOA Revenue Cycle Team that focuses on revenue cycle excellence. As a Refund Specialist, you will use your analytical, financial, and customer service skills to ensure that the accounts of our TOA Columbia patients are accurate and reconciled in a timely fashion. Essentially, you'll be working to make sure any overage that is due to a TOA Columbia patient is returned to them timely. Meets quality assurance and productivity standards by identifying, reconciling credit balance accounts and reviewing credit balance reports for potential over payments.
Responsibilities
- Ensures accuracy of refund requests by doing the appropriate research and reconciliation of credit balance accounts and analyzing patients' accounts utilizing our Electronic Health Record (EHR) system - NextGen to determine appropriate action.
- Communicate with patients, TOA staff and insurance payers to ensure timely and accurate resolutions of account transactions. This may include the review of third-party claims (i.e. MVA settlements, workers compensation claims.)
- Prioritize assigned accounts to maximize aged accounts receivable resolution.
- Review explanation of benefit (EOB) documentation and third-party claims/workman's comp. to perform account resolution.
- Process, post, and prepare approved refunds through our EHR system.
- Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions.
- High school diploma or equivalent is required.
- At least one-year medical office - revenue cycle experience is preferred, with some experience with an orthopaedic practice a plus.
- Exceptional customer service and patient focus. Our Refund Specialists often speak with our patients, providers, and payors, and it is essential that they are able to make each encounter as positive as possible.
- Knowledge of Insurance - particularly health insurance provisions is essential, accounts payable and accounts receivable is preferred.
- Knowledge of administrative and clerical procedures, including experience with computer systems. Experience with an EHR or NextGen is a plus.
- An exceptional focus on attention to detail, ensuring that all documentation is entered accurately and swiftly, and that each transaction is reconciled correctly.
- Collaboration, working closely with Central Business Office and clinical colleagues and administrative team mates to develop a cohesive, high performing team.
- An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow documents through our EHR, without any diminishing focus on accuracy.
- Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the administrative support they need in a timely manner.
- Competitive pay
- Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
- Paid Time Off (which increases with years of service)
- Paid Holidays
TOA Columbia is an equal opportunity employer. TOA Columbia conducts background checks on applicants who accept employment offers. TOA Columbia adheres to HIPAA and OSHA safety guidelines.
