Refund Specialist (Hybrid), Day Shift, Patient Financial Services
Core
Process patient account credits, identify overpayments, and resolve billing errors to ensure accurate financial reconciliation for healthcare payers.
Role type
Patient Financial Services Specialist (Billing/Refunds)
Builds
Accurate patient financial accounts and payer credit resolutions
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Payer contract knowledge, Medicare credit balance reporting, account evaluation, billing correction processing, HIPAA compliance, overpayment identification
Preferred skills
Healthcare environment experience, independent work, high-volume processing
Technologies
EOB systems, billing correction tools
Responsibilities
Provide resolutions on credits based on payer contract knowledge, Complete Quarterly Medicare Credit Balance Report, Evaluate patient accounts to answer questions or bring resolution to credits, Review EOB and patient payments to determine overpayments, Process write-offs, charge adjustments, billing corrections, or voids, Maintain patient confidentiality and follow HIPAA guidelines, Identify patient overpayments and refunds