Patient Collections & Refund Specialist

Description

 Live your life in full motion!

Join our Team to put the FUN in functionality!!

We are the leaders in the orthopedic community of East Central Florida, The Orthopedic Clinic has served our community since 1961. We get our patients back to the life they love with high quality, individualized orthopedic care. The Orthopedic Clinic is seeking an enthusiastic and driven candidate that has previous experience in a fast paced clinic setting to join our dynamic team as a Patient Collections & Refund Specialist.   

The Patient Collections & Refund Specialist is an important part of our Central Business Office, our operation that focuses on revenue cycle excellence. As a Refund Specialist, you will use your analytical, financial, and customer service skills to ensure that the accounts of our patients are accurate and reconciled in a timely fashion. Essentially, you’ll be working to make sure any overage that is due to a TOC patient is returned to them timely. This position reports to our Revenue Cycle Manager, and is located at our Central Business Office location. Meets quality assurance and productivity standards by identifying, reconciling credit balance accounts and reviewing credit balance reports for potential over payments.

• Ensures accuracy of refund requests by doing the appropriate research and reconciliation of credit balance accounts and analyzing patients’ accounts utilizing our Electronic Health Record (EHR) system - AthenaNet to determine appropriate action.
• Collecting balances on account from the patient
• Understanding of insurance, reading EOBs to review accuracy
• Determining if next step collections is necessary
• The Refund Specialist is an important part of Central Business Office, our operation that focuses on revenue cycle excellence. As a Refund Specialist, you will use your analytical, financial, and customer service skills to ensure that the accounts are resolved
• Prioritize assigned accounts to maximize aged accounts receivable resolution
• Review explanation of benefit (EOB) documentation and third party claims/workman’s comp. to perform account resolution
• Process, post, and prepare approved refunds through our EHR system
• Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions

Requirements

• High school diploma or equivalent is required.
• At least one year medical office – revenue cycle experience is preferred, with some experience with an orthopedic practice a plus
• Exceptional customer service and patient focus. Our Refund Specialists often speak with our patients, providers, and payors, and it is essential that they are able to make each encounter as positive as possible.
• Knowledge of Insurance - particularly health insurance provisions is essential, accounts payable and accounts receivable is preferred.
• Knowledge of administrative and clerical procedures, including experience with computer systems. Experience with an EHR or Athena is a plus
• An exceptional focus on attention to detail, ensuring that all documentation is entered accurately and swiftly, and that each transaction is reconciled correctly.
• Collaboration, working closely with Central Business Office and clinical colleagues and administrative team mates to develop a cohesive, high performing team
• An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow documents through our EHR, without any diminishing focus on accuracy
• Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the administrative support they need in a timely manner

The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual orientation and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.

The Orthopedic Clinic is a drug free workplace and all applicants under consideration for employment will be background checked as part of the hiring process.