Refund Specialist Full Time

Please be advised if you are viewing this position on Indeed that the salary rate/range set forth herein was provided by Indeed. Concentras market specific rate/range will be provided during the interview process.

Do you want to use your problem solving skills and knowledge of finance to help heal Americas workforce At Concentra we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient affordable and caring manner. We do this by putting all customers first.

Position Summary

The Central Billing Office (CBO) Refund Specialist performs a variety of tasks researching refund requests overpayments and credit balances. The Specialist ensures money is correctly applied and overpayments are refunded to the appropriate party.

The Details

• Analyze and resolve credit balances on medical billing system
• Review and respond to various patient customer or insurance refund requests
• Understand payer contracts and prepare refund requests accordingly
• Review refund requests or credit balances on daily basis for completeness by comparing documentation against specific supporting back-up
• Submit refund requests in good order to appropriate supervisor for approval
• Prepare refund request forms and supporting documentation regarding overpayments
• Identify and share payment/adjustment trends with supervisor to assist in on-going training of CBO colleagues
• Perform daily weekly and monthly balancing of all posting activity
• Identify billing errors inaccurate payments or posting errors to resolve balances on practice management system
• Research credits on account receivables unapplied balances and resolves balances
• Reconcile receipt summaries and resolves balances
• Contact payers (non-injury and injury) to determine if payments can be applied and process paperwork for payment transfer
• Research and process refund transactions such as duplicate payments and checks received in error
• Research and transfer unidentified payments to appropriate accounts/charges where approved
• Research and pull copies of previously paid checks
• Process refund request spreadsheets/forms and makes appropriate copies
• Submit electronic refund requests to accounts payable with manager approval and documents request date
• File and maintain refund copies
• This job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice. Concentra is a national health care company focused on improving Americas workforce one patient at a time. Through our affiliated clinicians we provide occupational medicine urgent care primary care physical therapy and wellness services. Concentra also serves employers by providing a broad range of onsite health services in worksite medical facilities.

Education/Credentials

• High school diploma or GED equivalent
• Some college or specialty training in medical billing or equivalent job relevant experience preferred

Job-Related Experience

• Customarily has at least one or more years of experience in accounts receivable or payment posting

Job-Related Skills/Competencies

• Concentra Core Competencies of Service Mentality Attention to Detail Sense of Urgency Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts explore alternatives and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Familiarity with Microsoft Excel Outlook Word
• Ability to communicate effectively
• Time management and organizational skills
• Familiarity with refund process
• Familiarity with medical coding
• Analytical and data entry skills
• Ability to operate 10-key numeric pad by touch

• 401(k) with Employer Match
• Medical/Vision/Prescription/Dental Plans
• Life Insurance/Disability
• Paid Time Off
• Colleague Referral Bonus Program

This position is eligible to earn a base compensation rate in the range of $19.00to $22.00 hourlydepending on job-related factors as permitted by applicable law such as level of experience geographic location where the work is performed and/or seniority.

• External candidates: submit your application on colleagues: visit the internal career portal on the main page of MyConcentra to apply

Concentra is an Equal Opportunity Employerincluding disability/veterans