Working mainly in healthcare settings, the Refund Specialist will undertake the task of researching and processing refunds of payments for patients, healthcare providers, and physicians. Job duties listed on the Refund Specialist Resume include tasks like – answering payment related issues or problems, providing written responses to the insurance companies, ensuring accuracy inpatient documentation, staying up to date with the HIPPA regulations, identifying reimbursement coverage of patients, maintaining patient data about reimbursement support, and working with treatment providers or insurance companies to obtain authorization for payments.
Employers want these skills from their potential Refund Specialists – a strong understanding of customer service principles, a thorough knowledge of medical terminologies, willingness to work in shifts, accounting knowledge, bilingual speaking skills, and a strong understanding of EOB and mathematical concepts. A high school diploma and prior work experience are generally required for this job.
Headline : Looking for a company with growth and potential. Versatile customer service representative with motivated with excellent problem solving, leadership, and communication skills.
Ensured the completion of the credit balance and misapplied credit reports by processing insurance and patient refunds.
Received and processed payer correspondence and refund requested fax, and written correspondence and pricing agencies.
Determined credit balances are a true credit and accurate by reviewing account transactions and the explanation of benefits, if applicable.
Initiated the refund process by completing check requests using a paper template to escalate refund request approvals.
Processed refunds via credit card, when necessary.
Identified and refer patients accounts for auditing to the appropriate department.
Reissued checks and processes stop payments on checks that have not been cashed within policy guidelines.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist lll Resume
Headline : Experienced administrator, with the demonstrated ability to perform a wide range of routine financial transactions, analyze finance regulations and relevant data, and resolve payment discrepancies and account issues.
Skills : Microsoft Excel, Microsoft Word, Nextgen, Athena, Epic.
Description :
Maintained accounts management for General Practitioners and Hospitals.
Identified and prompted processing of eligible refunds for both patients and insurance companies.
Received, sort and distribute incoming and outgoing mail and correspondence copy and distribute as requested.
Typed and distribute purchase orders; enter data into the computer log purchase orders, invoices, and cash receipts; balance petty cash.
Must maintained constant awareness of all aspects of internal and external security.
Capable of performing repetitive tasks while maintaining a high level of accuracy.
Ability to work in one place and traverse the office on a continuing basis.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist/Supervisor Resume
Headline : Train new and current employees to enable them to reach productivity goals. Proven ability to solve problems, communicate and manage the workload as needed. Excellent time management and task prioritization.
Skills : Microsoft Excel, Microsoft Word, Specialist.
Description :
Post payment, adjustment, denials and rejections for manual insurance, credit card payments, and patient checks.
Implemented a paperless refund process to reduce aged credit balances and provide an easier workflow for staff.
Used accounting principles and standard operating procedures to ensure staff members are compliant with company policies.
Responsible for assisting management with a credit balance and resolving problems with consumer accounts.
Used Microsoft excel sheet daily to post all transactions, refunds, and issues.
Maintained credit balance reporting and prioritize work for goals to be met prior to close.
Handled the task of researching complex accounts, create refunds, and management team for further investigation.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist/Specialist Resume
Headline : Administrative Specialists receive only occasional instruction or assistance as new or unusual work situations arise and are fully aware of the operating procedures and policies of the work unit.
Skills : Medical Billing, Customer Service, Administrative Assistant.
Description :
Corresponded with the insurance companies on claims and payment issues.
Determined is a refund is due to a patient to the insurance company.
Processed all incoming refund requests Researched outstanding credits on accounts Responded to collection emails.
Researched claims to verify why there was a credit balance.
Maintained accurate and up-to-date files and records to monitor various logs, accounts, and files for current and accurate information.
Maintained inventory of forms, office supplies, and other general supplies for assigned department; order supplies as needed.
Operated a variety of office equipment, including a typewriter, calculator, switchboard, copier, facsimile machine.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist/Consultant Resume
Headline : Audit insurance credit balances on accounts. Enter and balance refund check entries. Notify insurance companies of overpayments and follow up on those accounts.
Skills : Data Entry, Customer Service, Call Center Experience, Inside Sales.
Description :
Manually applied payments received from third-party companies to the correct contracts.
Processed refunds of overages and forward to appropriate parties.
Received mail and cash payments from customers and collection agency; process cash for bank deposits.
Made accurate notations to reflect corrections made to contracts.
Prepared and reviews claims to ensure billing accuracy including but not limited to codes, modifiers, pricing, dates, and authorizations.
Pursued collection activities to obtain reimbursement from payers and patients.
Frequent followed up with payers and/or patients on outstanding accounts.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist l Resume
Headline : Communicate via phone and email to reconcile differences and provide excellent customer service to resolve discrepancies and obtain maximum refunds and credits as appropriate.
Skills : Customer Service Skills, Coding, Computer Skills, Medical Terminology, Data Entry.
Description :
Researched credit balances to determine if the refund was due to the patient or the insurance company.
Worked correspondence letters from insurance companies.
Processed refund requests utilizing payer guidelines and policies and procedures.
Protected accounts and ensures that all collection activities are suspended during an active bankruptcy proceeding.
Researched accounts to determine loan status, claim paid type and recharge ability.
Maintained clear, concise and accurate documentation of all action taken on borrower's accounts, including calls received.
Maintained accurate knowledge of bankruptcy laws, privacy acts, and regulations affecting student loans.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist/Coordinator Resume
Headline : Ensure proper alignment with all internal teams through proactive communication strategies, Arrangements can include individual Charter & Ground transportation and Cruise and tour packages obtained through preferred suppliers.
Skills : Medical Billing, Customer Service, Administrative Assistant.
Description :
Reviewed insurance over payment letters and voluntary refund requests.
Researched and provide all proof of payments and detailed documentation.
Communicated via phone or written letters to insurance companies for refund verification.
Analyzed the Explanation of Benefits for payment, offset, and renouncement.
Processed refunds in the proper time frame, to avoid auto renouncement.
Followed up on insurance companies on resolving dispute matters.
Communicated any billing-related issues to Collection and Account Receivable Department.
Experience
5-7 Years
Level
Management
Education
BS
Refund Specialist Resume
Headline : To position within a company that will enable utilization expertise and knowledge with medical billing and collections, as well as provides the opportunity to acquire more experience from others.
Skills : Customer Service Skills, Coding, Computer Skills, Medical Terminology.
Description :
Researched credit balances to determine if the refund was due to the patient or the insurance company.
Researched insurance companies to determine which one was primary or secondary.
Worked correspondence letters from insurance companies.
Demonstrated the ability to work well with peers while ensuring a strong cohesive team.
Maintained working knowledge of applicable laws and regulations as they relate to assigned responsibilities.
Demonstrated the ability to work well with peers while ensuring a strong cohesive team.
Ensured that refund credits are issued to insurance providers and patients.
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