PATIENT FINANCIAL SERVICES REP SENIOR - REFUNDS - FULL TIME

Job Description

Job Description

Description :

Summary / Objective : Sr. PFS Refund Representative assists in the operations of the Refund Department to ensure compliance and quality processing of credit balances.

Essential Functions

• Monitoring the Refund Department staff to ensure accurate processing of credit balances.
• Trains and educates Refund staff to adhere to Standard Operating Procedures and provide accurate and timely refunds. Assists staff with in-depth research to ensure the accurate processing of accounts. Addresses staff concerns in relation to the processing of refunds.
• Processes all aspects necessary for the completion of compliance audits including research, charge corrections and processing of refunds.
• Analyzes escalated requests for patient and insurance refunds requiring in-depth research and processing of the refund.
• Assists with the processing of patient and insurance refund requests.

Requirements :

Required Education and Experience : High School graduate with a minimum of 2 years’ experience in a medical business office or a related field. Experience with the claim adjudication process for government and commercial insurance carriers. Basic medical terminology, CPT and ICD codes.

Additional Eligibility Qualifications : Basic knowledge of Windows based computer applications. Be able to operate the following equipment : computer, copier, fax, and 10-key calculator. Accurate typing rate of 40 WPM. Aptitude to retain detailed information. Ability to be multi-tasked oriented, to prioritize and produce an acceptable volume of work. Knowledgeable concerning basic telephone etiquette. Has a good speaking voice, able to communicate ideas in a clear and concise manner. Must be able to conduct thorough interviews concerning financial matters in a relaxed and supportive manner. Ability to assess a situation and decide on the best course of action. Possesses good organizational skills. Professional appearance and manner.