Accomplished Lead Refund Analyst with a proven track record at Physicians Immediate Care, excelling in refund processing and dispute resolution. Demonstrated expertise in Microsoft Excel and exceptional team collaboration, significantly enhancing refund efficiency and accuracy. Skilled in auditing and customer service, adept at driving results through meticulous attention to detail and proactive problem-solving.
Process refund for patient, major commercial insurance, workers
compensation and employer vendors.
Assign and delegate the credit work list daily.
Review, prepare, import refund work list to a template/spreadsheet for A/P to generate the refund checks.
Supported internal audit reviews by maintaining accurate records of all refund transactions.
Monthly review credit aging report.
Managed high-volume refund request via email with exception attention to detail, resulting in prompt refunds for patient.
Change patient demographics resulting in bad address and reissued checks.
Worked closely with various department teams to ensure seamless coordination during refund adjustments.
Conducted thorough investigations into dispute claims, uncovering discrepancies and validating eligibility for refunds.
Coordinate and delivered timely information to insurance representatives to resolve common and complex overpayment issues.
Accurately posted patient, insurance and adjustments both electronically and manually to account for multiple specialist.
Retrieving payments through Electronic Remittance Advice (ERA)
Balancing daily and month end closing to reconcile bank statements.
Preparing daily deposit through various LOCK BOX and ACH.
Processing credit card payments.
Worked diligently with assigned account receivable to resolve inaccuracy, rejections and outstanding balance on patient explanation of benefit. (EOB)
Supported audits by providing detailed records of all posted payments and adjustments upon request.
Trained new payment poster hires.
Accessing Explanation of Benefits through various payment portal.
Customer Service/answering high volume incoming and outgoing calls.