PMNT & REFUND SPEC I
Job Description
Overview
To process and post accurate and timely refunds and payments.
Position Reports To: Business Office Manager
Responsibilities
Opens daily mail, sort and batch payments.
Scan EOB’s and refund letters.
Process payments and adjustments accurately and timely for electronically and hand posting.
Process daily remote deposits and log sheets of wire deposits.
Process refunds accurately and timely for payors and patients.
Verify insurance and update coverage within 24 hours of receipt.
Respond to audit requests and payer inquiries within required timeframes.
Accurately work assigned work queues and document appropriately.
Accurately process corrections and void transactions per policy.
Maintain knowledge of payer rules, CMS regulations, and hospital and professional billing guidelines.
Assist with additional revenue cycle duties as assigned.
Collaborate with internal departments, providers, and payers to resolve complex payment and refund issues.
- Performs other duties as assigned.
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
High School Diploma or equivalent.
- AAHAM, HFMA, AHIMA, AAPC, AHCC, NAHAM or Code ProU certification OR 1 year Revenue Cycle experience; payment posting, refunds, scheduling, patient access, authorizations, coding and or charge capture.
- Proficient in basic math.
Strong attention to detail.
Basic computer skills.
Strong organizational and communication skills.
