Coordinator, Revenue Cycle Management, Patient Refunds

Coordinator, Revenue Cycle Management, Patient Refunds

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence.

Practice Operations Management oversees the business and administrative operations of a medical practice.

Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

The Coordinator, Revenue Cycle Management, Patient Refunds analyzes data to determine whether a refund is warranted, based on contractual agreements and payments received, and administers refunds accordingly. The Credit/Refund Specialist will be responsible for the expedient and accurate refund processing of patient and insurance over payments.

• Review EOBs and ensure allowances, adjustments, unallocated payments, and over payments are posted correctly.
• Review refund requests submitted by the billing team for accuracy, before sending to the accounting department for processing.
• Review and resolve accounts with credit balances/request refunds and/or adjustments as necessary.
• Generate reports to identify outstanding credit balances and prepare over payment packages as necessary.
• Initiate and work up refund requests for over payments.
• Process refunds and credit balances to patients or payers.
• Identify account problems, patterns, and trends.
• Assist with additional payment-related functions as necessary.
• Assist and respond to reports in a professional manner.
• Comply with state/federal regulations and adhere to HIPAA and PHI guidelines.
• Identify patient accounts with credit balances to determine whether or not a refund is due to the patient and/or insurance company.
• Communicate refund status with patients/insurance companies.
• Maintain refund tracking spreadsheet for all refund requests.
• Follow up on requests submitted to ensure payment has been received.
• Post adjustment and/or payment corrections to patient accounts in billing software.
• Perform other duties as assigned to meet business needs.

• 2 or more years’ experience working with medical refunds preferred.
• High School Diploma or equivalent degree preferred.
• Associate’s degree preferred.
• Previous healthcare billing and/or payment posting experience required.
• Basic computer knowledge (Windows, MS Word, MS Excel, Internet).
• Understanding of Electronic Response Admittances (ERAs) and Explanation of Benefits (EOBs) preferred.
• Strong Attention to detail.
• Ability to interact effectively and professionally with individuals at all levels; both internal and external.
• Must be able to work as part of a team.
• Knowledge of medical terminology preferred.
• Knowledge of health insurance preferred.
• Familiarity with Chemotherapy and Radiation Billing preferred.

• Applies acquired job skills and company policies and procedures to complete standard tasks.
• Works on routine assignments that require basic problem resolution.
• Refers to policies and past practices for guidance.
• Receives general directions on standard work; receives detailed instruction on new assignments.
• Consults with supervisors or senior peers on complex and unusual problems.

$15.70 - $24.75 Hourly USD

* if interested in opportunity, please submit application as soon as possible.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlex Pay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

The hourly range listed is an estimate. Pay at Cardinal Health…