Refund Analyst

Job ID
2022-6465
Job Locations
US-TN-Brentwood
Posted Date
2 weeks ago(7/29/2022 3:43 PM)
Category
Billing - CRMS

Overview

Company Summary

If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include company matching 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.

 

Position Summary:

Refund Analyst position requires communication with internal and external clients. Processes refunds to patient accounts and prepares daily credit balance reports, using computer systems, databases, and ledgers. Is flexible in work priorities and performs other duties as assigned. Such as researching, entering, analyzing, and validating accurate demographic data. Researching and validating policy numbers to ensure timely claims payments.

Responsibilities

Job Responsibilities:

  1. Research and process refunds to patient accounts, maintaining appropriate knowledge and communication with Customer Service, the Facilities, and the patients.
  2. Work overpayments request for refund letters, faxes, and telephone requests for Insurance providers and patients.
  3. Utilizes computer systems and databases to perform and maintain accurate records and maintain proper documentation to support refund/recoupments processed.
  4. Prepares daily Credit Balance reports. Analyzes issues causing credit balances. Corrects contractual adjustment amount if needed.
  5. Compiles refund request with appropriate documentation, accurately documents accounts in Salesforce/Aura to ensure precise records for audits, which includes but no limited to pulling EOB's and required documentation to accurately prepare refunds for processing.
  6. Performs the quarterly insurance payor reviews. Checks both Salesforce/Aura to ensure contracted rates are true and accurate to our contracts.
  7. Ensures compliance procedure for prompt recording of all refunds.
  8. Coordinates any refund issues with RCM Directors/Managers as needed.
  9. Sets priorities to meet departmental needs.
  10. Completes productivity reports weekly, monthly as required timely.
  11. Assists as needed to perform other related duties and special projects as required.
  12. Accepts other duties as assigned.

Qualifications

Requirements:

Knowledge, Skills, and Experience

  1. Proficient in 10 key and alpha/numeric data entry.
  2. Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, or Google applications and general working knowledge of Internet for business use.
  3. Ability to work in a fast-past, deadline driven environment.
  4. Ability to define problems collects data, validate data, establish facts, and draw valid conclusions
  5. Drive for Results (Service, Quality, and Continuous Improvement) – Ensure procedures and processes are in place to ensure the delivery of quality results and continually reassess their effectiveness to achieve continuous improvement.
  6. Communication – Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results.
  7. Teamwork – Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
  8. Customer Service Focus – Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.

 

Education, Certification/Licensure, and/or Experience

  1. High School Diploma or equivalent required
  2. Associates degree or 5 years work experience in RCM required
  3. Five years’ work experience in Revenue Cycle
  4. One year experience in Refunds for patients and Insurance providers
  5. Previous customer service experience required.

Physical Demands

  1. Must possess ability to sit and/or stand for long periods of time.
  2. Must possess ability to perform repetitive motion.
  3. Ability to lift to 15 pounds.
  4. Majority of work is performed in a desk/cubicle environment.

Other

  1. Minimal Travel Required
  2. Remote workplace with minimal direct office attendance

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

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