A/R & REFUND SPECIALIST

Position Highlights:

The Accounts Receivable and Refund (A/R) Specialist is responsible for ensuring Accounts Receivable is properly recorded through the analysis and resolution of credit balances in the patient accounting system. Resolution will include investigating accounts through review of the patient accounting notes, EOBs (Explanation of Benefits), and payer remittance advices, and determining if refund checks or adjustments are needed. The Accounts Receivable and Refund Specialist will then prepare and process refund requests, adjustments, cash corrections and voids.


The Ideal Candidate Will Have:

• Experience using Microsoft Office suite including Word, Outlook, Excel, etc.
• Must be able to successfully read and understand EOBs (Explanation of Benefits).

Responsibilities:

• Work credit balance work lists in accordance with department operational guidelines.
• Prepare documentation for patient and payer refunds.
• Ensure the patient accounting system reflects payment information accurately
• Investigate and resolve credits caused by payer allocation errors (obsoletes)
• Process Corporate Compliance and Charge correction projects
• Credit balance with adjustment report
• Other duties as assigned.

Credentials and Qualifications:

• High School/GED plus a minimum five (5) years experience in a health care setting (Hospital, medical office, payer), working in revenue cycle

(OR) AA/AS Degree plus a minimum three (3) years experience in a health care setting (Hospital, medical office, payer), working in revenue cycle