Refund Specialist

Refund Specialist

Location:

US-MD-Linthicum

Job  | Category:
Corporate - Central Billing Office | Type:
Full Time | Recruiter:
Cecilia Dunn

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's 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 America's 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.

• 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 over payments
• 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 resolve balances
• Reconcile receipt summaries and resolve 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 make appropriate copies
• Submit electronic refund requests to accounts payable with manager approval and document 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.

• High school diploma or GED equivalent
• Some college or specialty training in medical billing or equivalent job relevant experience preferred
• Customarily has at least one or more years of experience in accounts receivable or payment posting
• Concentra
  
  Core Competencies:
  
  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
• 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 $19.00 to $22.00 hourly depending 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

Current colleagues: visit the internal career portal on the main page of MyConcentra to apply

Concentra is an Equal Opportunity Employer, including disability/veterans