Refund Specialist Insurance

The Refund Specialist-Insurance is responsible for reviewing accounts, identifying insurance overpayments and credit balances, as well as evaluating and verifying refunds are issued in accordance with current policies and procedures.

Duties & Responsibilities
Review refund and overpayment requests from insurance payers to determine if overpayment has occurredReview and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund check requestsIdentify root causes and trends contributing to patient and insurance credit balancesProactively work with other revenue cycle departments to improve efficiency and reduce and/or eliminate refund issuesPosts debits for approved refundsResearch returned checks and collaborates with A/P for reporting to unclaimed propertyResolves Department credit balance inquiries for transfers and refund check requestsAbility to work collaboratively and build positive business relationships with clinical areas and the payer communityDevelop and maintain expertise with payer specialty-specific payment policiesMaintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedurePreform special projects as required