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