Refund Specialist

UPMC

📍 Pittsburgh, PA, United States

Full-time other-general

Job Description

Purpose:
Process all credit balances (insurance and self-pay) for refunds.

Responsibilities:

+ Review credit balances for possible distribution to other debit balances.
+ Ensure that all validated Government payer refunds are processed in a timely manner or within the payer guidelines.
+ Maintain department productivity guidelines.
+ Ensure that proper documentation is attached to all refund requests.
+ Performs duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.
+ Maintain compliance with quality standards.
+ Prioritize work flow accordingly by balance and aging criteria.
+ Ensure that all incming refund requests, either via CRM or email, are processed within 3 business days.
+ Identify and take action towards resolution of credit accounts through poten...
Apply for this Position