Overpayment Refund Specialist
Restorix Health, Inc. Gordian Medical, Inc.
Orange, CA
03.2021 - Current
- Investigated and resolved all overpayments categories
- Reviewed explanation of benefits (EOBs) and credit balances
- Analyzed payment history to determine the validity of refunds/recoupments
- Issued refund checks to Medicare, Medi-Caid, and commerical payers
- Documented and monitored refund requests received via mail, e-mail and fax
- Worked closely with Accounts Payable, Cash Applications, Appeals and RCM Management Team
- Created weekly and monthly detailed reports of outstanding overpayment balances for management
- Requested refund checks with Accounting Department
- Created refund packages and prepared for mail
- Processed appeals for invoices that disagreed with insurance payment decisions