Medical Benefit Credit & Refund Coordinator - Monroeville, PA (Hybrid)
Core
Resolve insurance credit balances and process refunds for prescription medications via mail service pharmacy.
Role type
Medical Benefit Credit & Refund Specialist Coordinator
Builds
Revenue cycle management for healthcare accounts receivable
Domain
Healthcare / Pharmacy / Insurance Billing
Deliverable
client delivery
Required skills
Healthcare insurance experience, Microsoft Office (Excel, Outlook, Word), analytical skills, data collection
Preferred skills
Medical insurance billing or collections experience, healthcare reimbursement system experience, multitasking, professional communication
Technologies
Microsoft Office Suite
Responsibilities
Follow up on third-party insurance credits via phone, internet, and writing; validate credit balances and billing procedures; resolve overpayments and revenue recognition issues; initiate refunds and reverse claims; maintain chronological notes on account resolutions; contact patients, physicians, and insurers to validate claims.
Seniority
Entry-level, individual contributor