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Refund Operations Specialist

2 months ago


Columbia, Missouri, United States Columbia Orthopaedic Group Full time
Job Summary:

The Refund Specialist plays a vital role in maintaining financial accuracy and fostering positive relationships with patients and insurers at Columbia Orthopaedic Group.


Key Responsibilities:

1. Refund Processing:


Review and process patient and insurance refund requests in accordance with company policies and procedures, ensuring accurate calculation and verification of refund amounts.


Update and maintain refund records in the practice manager, guaranteeing seamless tracking and resolution of refund transactions.


2. Patient and Insurance Communication:


Respond to patient inquiries related to refunds, providing clear and timely information to ensure customer satisfaction and trust.


Communicate with insurance companies to resolve refund issues and obtain necessary approvals, fostering strong relationships with key stakeholders.


Address and resolve discrepancies or issues related to refund processing, ensuring prompt resolution and minimizing financial risks.


3. Documentation and Compliance:


Maintain thorough documentation of all refund transactions and communications, adhering to legal, regulatory, and internal policy requirements.


Ensure compliance with industry standards and best practices, performing periodic audits of refund transactions to guarantee accuracy and adherence to policies.


4. Collaboration and Support:


Work closely with the billing department to reconcile accounts and resolve billing discrepancies, promoting a culture of teamwork and cooperation.


Collaborate with the finance team to track and report on refund metrics and trends, identifying areas for improvement and implementing process enhancements.


Assist in developing and improving refund processing procedures to enhance efficiency, productivity, and customer satisfaction.


5. Problem-Solving:


Investigate and resolve complex refund issues or disputes, escalating to management as needed to ensure prompt resolution and minimize financial risks.


Identify process improvements and recommend solutions to enhance the refund process, driving continuous improvement and excellence.


Qualifications:

Education: High School Diploma or equivalent required; Associate's degree in Finance, Accounting, or a related field preferred.


Experience: Minimum of [2-3] years of experience in a financial or administrative role, with specific experience in handling refunds preferred.


Skills:


Strong analytical and mathematical skills.


Excellent attention to detail and accuracy.


Proficient in financial software and Google Suite (Sheets, Docs).


Strong communication and interpersonal skills.


Ability to handle sensitive information with confidentiality.


Working Conditions:

Office environment with standard business hours. Potential hybrid after 6 months.


Occasional overtime may be required to meet deadlines or address urgent issues.


Physical Requirements:

Ability to sit for extended periods and use a computer.