Refund Specialist Resume Samples

Description :

1. Processed insurance and patient refunds, ensuring accurate completion of credit balance reports.
2. Managed payer correspondence and refund requests, enhancing communication with pricing agencies.
3. Reviewed account transactions to verify true credit balances and accuracy of benefits.
4. Initiated refund processes by completing check requests, expediting approvals effectively.
5. Executed credit card refunds when necessary, ensuring compliance with company policies.
6. Identified patient accounts for auditing, collaborating with relevant departments for resolution.
7. Reissued checks and processed stop payments on uncashed checks, adhering to policy guidelines.

Experience

5-7 Years

Level

Management

Education

B.S. Finance

Description :

1. Managed accounts for healthcare providers, ensuring accurate and timely processing of refunds.
2. Identified eligible refunds for patients and insurance companies, enhancing cash flow.
3. Coordinated incoming and outgoing correspondence, ensuring efficient communication.
4. Processed purchase orders and maintained accurate financial records, balancing petty cash.
5. Monitored internal and external security measures to protect sensitive financial data.
6. Executed repetitive tasks with precision, maintaining high accuracy in financial transactions.
7. Collaborated with team members to optimize workflow and improve refund processing efficiency.

Experience

5-7 Years

Level

Management

Education

BSF

Description :

1. Processed payments, adjustments, and denials for insurance claims and credit transactions.
2. Streamlined refund processes, reducing aged credit balances and enhancing staff efficiency.
3. Ensured compliance with accounting principles and company policies in all refund activities.
4. Collaborated with management to resolve consumer account issues and credit balance discrepancies.
5. Utilized Excel for daily transaction postings, refunds, and issue tracking.
6. Maintained accurate credit balance reports, prioritizing tasks to meet monthly goals.
7. Conducted thorough research on complex accounts to facilitate accurate refunds and investigations.

Experience

5-7 Years

Level

Management

Education

B.S. Accounting

Description :

1. Managed communication with insurance companies regarding claims and payment discrepancies.
2. Assessed and processed patient refunds, ensuring compliance with insurance policies.
3. Handled incoming refund requests, researching outstanding credits and responding to inquiries.
4. Verified claims to identify reasons for credit balances and initiated appropriate actions.
5. Maintained accurate records and logs to track refund requests and resolutions.
6. Coordinated inventory of necessary forms and supplies for the refund department.
7. Utilized various office equipment to enhance operational efficiency in refund processing.

Experience

5-7 Years

Level

Management

Education

B.S. in BA

Description :

1. Applied payments from third-party companies to the correct accounts, ensuring accurate financial records.
2. Processed refunds for overpayments, coordinating with relevant departments for timely resolution.
3. Managed cash and mail payments, ensuring accurate deposits and record-keeping.
4. Maintained detailed records of corrections made to accounts, enhancing billing accuracy.
5. Reviewed claims for billing accuracy, including codes, modifiers, and authorizations.
6. Conducted follow-ups with payers and patients on outstanding accounts, improving collection rates.
7. Collaborated with team members to resolve discrepancies and streamline refund processes.

Experience

5-7 Years

Level

Management

Education

B.S. in BA

Description :

1. Processed refund requests in compliance with payer guidelines, ensuring timely resolutions.
2. Suspended collection activities during active bankruptcy proceedings to protect accounts.
3. Conducted thorough research on accounts to assess loan status and refund eligibility.
4. Documented all actions taken on borrower accounts, maintaining accuracy and clarity.
5. Kept updated on bankruptcy laws and regulations affecting refund processes.
6. Collaborated with cross-functional teams to enhance refund processing efficiency.
7. Trained new staff on refund policies and procedures to ensure compliance.

Experience

5-7 Years

Level

Management

Education

B.S. in BA

Description :

1. Reviewed and processed refund requests, ensuring compliance with company policies and procedures.
2. Conducted thorough research on payment histories and documentation to validate refund claims.
3. Communicated effectively with insurance companies to verify refund eligibility and resolve discrepancies.
4. Analyzed Explanation of Benefits (EOB) to determine payment adjustments and offsets.
5. Processed refunds within established timelines to prevent auto-renouncement of claims.
6. Followed up with insurance companies to expedite resolution of outstanding disputes.
7. Collaborated with the Collections and Accounts Receivable teams to address billing-related issues.

Experience

5-7 Years

Level

Management

Education

B.S. in BA

Description :

1. Analyzed credit balances to determine refund eligibility for patients and insurance companies.
2. Identified primary and secondary insurance coverage to ensure accurate refund processing.
3. Managed correspondence with insurance companies to facilitate timely refunds.
4. Collaborated effectively with team members to foster a cohesive work environment.
5. Maintained up-to-date knowledge of relevant laws and regulations impacting refund processes.
6. Ensured timely issuance of refund credits to both insurance providers and patients.
7. Utilized data analysis to identify trends in refund requests and improve processes.

Experience

5-7 Years

Level

Management

Education

B.S. in BA