What are the responsibilities and job description for the Refund Specialist - PNS Patient Accounting position at Conway Medical Center?
The Refund Specialist- PNS (RS) will be responsible for the complete credit balance, aged trial balance, as well as the investigation and resolution of the credit balance accounts for Provider Network Services. The RS will also be responsible for any refund request made by third party payors or patients. The RS will research each credit balance and apply any credits to existing balances due before considering refunding the paying source. The RS will work closely with the Patient Account Representatives for the credit account so that all allowances and balances will be verified before any refund is issued and all documentation supporting the refund will be printed copied and attached to a refund request sheet for the approval of the Director Revenue Conway Physicians Group. Other responsibilities include contacts appropriate personnel to obtain additional information/clarification regarding past due bills, follows up on problem credit balances and develops recommendations for their proper disposal, works the credit balance aged trial balance with the goal of reducing the total amount prior to month end and handles the mail and phone refund request.
Qualifications:
*Assessment of overall credit worthiness by review of a consumer credit report is required.*
Education:
- High school diploma required.
- Associates degree in business related field preferred.
Experience:
- Minimum two (2) years’ experience in insurance processes and billing guidelines and regulations required.
- Prior billing experience in a physician office preferred.
Special Skills:
- Exemplary core customer service skills strongly required.
- Strong organizational skills.
- Strong PC skills required.
- Strong verbal communication skills required.
- Strong verbal and written communication skills required.
