Refund Coordinator

Job Title

Responsible for auditing and coordinating the processing of all refunds to patients, insurance companies, government programs, clients, and other intercompany accounts as well as bad debt recovery. Research all accounts, cross-referencing to update addresses, insurance information, and validate all transfers and balances to ensure proper adjudication of funds to reduce bad debt and credit balances. Prepares all daily refund reports and monthly refund reports. Prepares bad debt recovery reports daily and faxes to AMCA. Requires ability to interact with all levels of personnel. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

Core Functions

• Sort, process and audit all appropriate paperwork for insurance, government, patient, and non-A / R refunds including researching and corresponding on missing payments, misdirected and unidentified payments, returned refunds and maintaining Z accounts.
• Assist in processing and editing for posting cash, insurance explanation of benefits or explanation of payment.
• Maintain and reconcile daily spreadsheet of refunds, collections, and A / R postings. Distribute daily summary report of refunds to Supervisor.
• Assist with internal audits and refunds, which comply with quality controls, checks and balances in accordance with departmental policies, procedures, and all applicable laws and regulations. Interpret and resolve written and phone correspondence involving credit balances, transfers of insurance, client, or patient payments and / or information.
• Produce month end spreadsheet and supplemental summary reports to facilitate Revenue reporting and bank statement reconciliation.
• Maintain and process credit reports for non-contracted insurance, government, patient bill codes, and bad debt recovery including daily notification to collection agency.

Knowledge, Skills and Abilities :

Minimum Qualifications :

Preferred Qualifications :

EEO Statement :

Our organization supports a drug-free work environment.

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