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    Refunds Specialist - Houston, United States - Medical AR Management Services, LLC

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    Description
    Job Description

    Job 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.

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