Payments and Refund Specialist (Chesapeake Specialty Care)

The Payment and Refund Specialist is responsible for posting all payor funds, tracking all income and managing patient refunds.

ESSENTIAL FUNCTIONS

1. Stay current on payer policies and coverage guidelines.

2. Post and balance all Payments received in Lockbox and paid to Divisions through ERA or EOBs received from Remedics or through Clearing House.

3. Balance all Payments posted in each Division Daily and log in appropriate spreadsheets.

4. Track patient credits and process refunds.

5. Perform approved adjustments from other teams within the RCM or from Divisions.

6. Participate in revenue cycle meetings and process improvement initiatives 

7. Identify and resolve billing complaints, answer questions from staff, patients and insurance companies.

EDUCATION and/or EXPERIENCE

· High school diploma or equivalent

· Minimum 2-3 years of experience in medical billing 

· Familiarity with medical terminology and CPT/ICD-10 codes 

· Experience with practice management systems and EHR platforms 

· Familiarity with Microsoft applications, including, but not limited to Word and Excel.

Total Rewards
The referenced base salary range represents the low and high end of SCN'S salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement.