Patient Collections & Refund Specialist

Company: THE ORTHOPEDIC CLINIC
Location: Daytona Beach
Posted on: May 27, 2023

Job Description:

Description:The Refund Specialist is an important part of our Central Business Office, our operation that focuses on revenue cycle excellence. As a Refund Specialist, you will use your analytical, financial, and customer service skills to ensure that the accounts of our patients are accurate and reconciled in a timely fashion. Essentially, you'll be working to make sure any overage that is due to a TOC patient is returned to them timely. This position reports to our Revenue Cycle Manager, and is located at our Central Business Office location. Meets quality assurance and productivity standards by identifying, reconciling credit balance accounts and reviewing credit balance reports for potential over payments.Ensures accuracy of refund requests by doing the appropriate research and reconciliation of credit balance accounts and analyzing patients' accounts utilizing our Electronic Health Record (EHR) system - AthenaNet to determine appropriate action.Collecting balances on account from the patientUnderstanding of insurance, reading EOBs to review accuracyDetermining if next step collections is necessaryThe Refund Specialist is an important part of Central Business Office, our operation that focuses on revenue cycle excellence. As a Refund Specialist, you will use your analytical, financial, and customer service skills to ensure that the accounts are resolvedPrioritize assigned accounts to maximize aged accounts receivable resolutionReview explanation of benefit (EOB) documentation and third party claims/workman's comp. to perform account resolutionProcess, post, and prepare approved refunds through our EHR systemOperate within established guidelines and protocols, including providing backup documentation for our accounting and audit functionsRequirements:High school diploma or equivalent is required.At least one year medical office - revenue cycle experience is preferred, with some experience with an orthopaedic practice a plusExceptional customer service and patient focus. Our Refund Specialists often speak with our patients, providers, and payors, and it is essential that they are able to make each encounter as positive as possible.Knowledge of Insurance - particularly health insurance provisions is essential, accounts payable and accounts receivable is preferred.Knowledge of administrative and clerical procedures, including experience with computer systems. Experience with an EHR or Athena is a plusAn exceptional focus on attention to detail, ensuring that all documentation is entered accurately and swiftly, and that each transaction is reconciled correctly.Collaboration, working closely with Central Business Office and clinical colleagues and administrative team mates to develop a cohesive, high performing teamAn energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow documents through our EHR, without any diminishing focus on accuracyDependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the administrative support they need in a timely manner

Keywords: THE ORTHOPEDIC CLINIC, Daytona Beach , Patient Collections & Refund Specialist, Accounting, Auditing , Daytona Beach, Florida