Patient Refund Specialist

3 weeks ago


Nashville, Tennessee, United States Insight Global Full time
Job Description

The Refunds Specialist plays a crucial role in ensuring the accuracy and efficiency of patient refunds. This position requires a detail-oriented individual who can analyze data, identify discrepancies, and administer refunds accordingly.

Key Responsibilities:
  • Review Electronic Response Admittances (ERAs) and Explanation of Benefits (EOBs) to ensure accurate posting of allowances, adjustments, unallocated payments, and overpayments.
  • Verify refund requests submitted by the billing team for accuracy before sending them to the accounting department for processing.
  • Identify patient accounts with credit balances and determine whether a refund is due to the patient and/or insurance company.
  • Communicate refund status with patients and insurance companies.
  • Post adjustment and payment corrections to patient accounts in billing software.
Requirements:
  • 2+ years of experience working with medical refunds.
  • High School Diploma or equivalent.
  • Previous healthcare billing and/or payment posting experience required.
  • Understanding of ERAs and EOBs.

We are an equal opportunity/affirmative action employer committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.



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