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Refund Specialist

Company Name:
Iasis Healthcare
### Job Description
The Refund Specialist verifies and determines if the credit balance is valid. Process refunds with the goal of account accuracy and customer satisfaction with every encounter. A successful Refund Specialist works to facilitate resolution or refunds through attention to detail, problem solving initiative and a dedication to efficient service for patients and insurance companies.
Primary Responsibilities:
Researches, audits, and processes refunds to patients and insurance companies
Answers customer questions regarding the refund and billing process
Reviews refund documentation for accuracy and completion
Ensures compliance with applicable laws, HIPPA regulations and company policies
Escalates problem accounts to management as required by circumstances
Completes education and training
Review the payer contracts to determine if an insurance overpayment is due to the payer
Reviews the patient accounting system but not limited to incorrect charge entries, duplicate contractuals, or duplicate payments
Documents detailed notes in the patient accounting system
Processes refunds in a timely and efficient manner
Performs other duties as assigned
### Skills / Requirements
High School diploma or GED equivalent
Two or more years refunding experience
Previous hospital experience preferred
Knowledge of medical terminology, insurance billing, and reimbursement, and coding
Ability to exercise discretion on sensitive and confidential matters
Demonstrated ability to communicate effectively on the phone, in writing and via email
Demonstrated computer skills with data entry software
Ability to apply mathematical concepts and calculations
Ability to work in a team environment
Ability to adapt in a fast-paced environment and learn and retain new or evolving information and procedures
Ability to work independently
Posted: 04/21/2014
Job reference #: 1307629

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