Refund Coordinator

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Job description

Primary City/State:

Phoenix, Arizona

Department Name:

PFS Cash Applications

Work Shift:

Day

Job Category:

Revenue Cycle

POSITION SUMMARY
Responsible for auditing and coordinating the processing of all refunds to patients, insurance companies, government programs, clients, and other intercompany accounts and as well as bad debt recovery. Research all accounts, cross-referencing to update addresses, insurance information, and validate all transfers and balances to ensure proper adjudication of funds to reduce bad debt and credit balances. Prepares all daily refund reports and monthly refund reports. Prepares bad debt recovery reports daily and faxes to AMCA. Requires ability to interact with all levels of personnel. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

CORE FUNCTIONS

1. Sort, process and audit all appropriate paperwork for Insurance, government, patient, and Non-A/R refunds including researching and corresponding on missing payments, misdirected and unidentified payments, returned refunds and maintaining z accounts.

2. Assist in processing and editing for posting cash, insurance explanation of benefits or explanation of payment.

3. Maintain and reconcile daily spreadsheet of refunds, collections, and A/R postings. Distribute daily summary report of refunds to Supervisor.

4. Assist with internal audits and refunds, which comply with quality controls, checks and balances in accordance with departmental policies, procedures, and all applicable laws and regulations. Interpret and resolve written and phone correspondence involving credit balances, transfers of insurance, client, or patient payments and/or information.

5. Produce month end spreadsheet and supplemental summary reports to facilitate Revenue reporting and bank statement reconciliation.

6. Maintain and process credit reports for non-contracted insurance, government, patient bill codes, and bad debt recovery including daily notification to collection agency.

SCOPE AND COMPLEXITY
Customers are both internal and external. Comes in contact and speaks on the telephone with other departments, patients, and physician offices.

KNOWLEDGE, SKILLS AND ABILITIES

• Proficient in Excel
• Critical Thinking
• Self-motivation
• Good time management

MINIMUM QUALIFICATIONS

• High School diploma, GED, or the equivalent of 2 years work experience in a Medical Accounts Receivable Department with the ability to interpret medical explanation of benefits.
• Good telephone, written and verbal skills.
• Also requires excellent organizational skills and basic Microsoft Excel Skills.

PREFERRED QUALIFICATIONS

• Previous Refund and/or Credit Balance experience
• Identification of both patient and insurance refunds
• Accurate typing skill of 45 WPM and 6,-keystrokes per hour.
• Additional related education and/or experience

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy

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