Refund Coordinator

Title:

Refund Coordinator

Union:
Teamsters 986

Grade: 22

Date: 1/23/2025

The Refund Coordinator 1 is responsible for processing all refunds accurately and in a timely manner. This involves handling refund requests efficiently, verifying the validity of each request, managing any required documentation, and effectively communicating with customers about the status of their refunds.

Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role.

• Maintain the refund database by daily balancing, recording write-off amounts, and processing refund checks.
• Make regular phone calls about over payments less than 45 days old.
• Refer all uncollectible over payments to CRS after 45 days.
• Create written communications for providers, members, and other carriers using Microsoft Word software as necessary.
• Assist in resolving any issues that arise with the Finance department as needed.
• Prepare a refund request for the fund.
• Complete daily database balancing 100%.
• Identify potential problems and trends in processes and escalat[e] them for management review.
• Identify potential problems and possible solutions for process improvement.
• Collaborate with colleagues and departments to ensure timely and high-quality service.
• Engage with the Customer Relations Service (CRS) daily to discuss refund close-outs and address any complex issues.
• Provide assistance to participants, co-workers, and vendors in a friendly, courteous, and professional manner.
• Excel in a team environment with minimal supervision.
• Ensure adherence to departmental quality and productivity standards as specified in the work standards grid.
• Perform other duties as assigned.

• High School Diploma or GED.
• A minimum of two years of experience as a Claims Examiner.
• Proficiency in using a computer.
• Typing skills meeting or exceeding 35 WPM.
• Note:
  
  This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee in this job. Duties, responsibilities and activities may change at any time with or without notice.

• Prolonged periods of sitting at a desk and working on a computer.
• Normal degree of physical effort in a typical office environment with comfortable, constant temperatures and absence of objectionable elements.
• May be subject to interruptions.
• Must be able to have a flexible work schedule when workflow requires.
• Meet established attendance and punctuality guidelines.
• Must be able to lift 15-25 pounds at times.

Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process.

If reasonable accommodation is needed, please contact the Recruiting Department at r, and we would be happy to assist you.