3-5 years of experience
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Employment Type:
Full time
Job Category:
Medical Billing Specialist - Credit Balance/Refund
(This job is no longer available)
Grad Date

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Job Description


The Credit Balance/Refund Specialist researches credit balances and takes appropriate action as identified through analysis. The Credit Balance/Refund Specialist reverses non-allows, researches refund request and recommends as appropriate, researches insurance company requests for reimbursement of over-payments and processes insurance and patient refund requests. The Credit Balance/Refund Specialist will determine the appropriate amount of overpayment or incorrect payment, determines if a refund is needed and generates the paperwork necessary to initiate the production of a paper check from the Accounts Payable department. The Refund Specialist will follow all policies related to refund generation, as well as any rules imposed by Internal Audit or Compliance. Incumbent must demonstrate good verbal and communication skills.

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks:

* Health: Medical, Dental and Vision plans available for staff and family
* Holiday, Vacation and Sick Leave
* Education discount for staff and dependents (undergraduate only)
* Retirement: Up to 10% matched contribution from UAMS
* Basic Life Insurance up to $50,000
* Career Training and Educational Opportunities
* Merchant Discounts
* Concierge prescription delivery on the main campus when using UAMS pharmacy

Salary: Yearly $26,531 (Hourly $12.76)


* Identifies all credit balance accounts through system reports and online work lists/work-queues.
* Receives request for refunds from patient, internal departmental request or third party correspondence.
* Researches all accounts for appropriateness of refund and adjusts contractual allowances as needed.
* Collects documentation to understand overpayment or incorrect payment.
* Determines if refund is appropriate based on in-depth analysis of patient account(s).
* Researches patient's account history and applies patient overpayment to any outstanding patient balances.
* Process refund requests as appropriate and document in patient's account.
* Complies and provides additional supporting refund documentation as requested.
* Ensures that all refunds requests are processed in an efficient and timely manner.
* Attaches supporting documentation on a weekly basis upon receipt of processed refund checks and prepares for mailing.
* Responsible for ensuring processed refunds balance between the patient accounting system and the accounts payable system.
* Records refund balanced figures on the Refund Balancing document weekly.
* Reports to management trends that presents themselves during the course of daily activities.
* Review and resolve undistributed payments.
* The ability to determine over-payments or incorrect payments and determine if a refund is needed.
* Other duties as assigned.


Minimum Qualifications:

* High School Diploma/GED plus 3 years in cash posting, account billing or follow-up in a health care setting.
* Effective written and verbal communication skills, basic money handling skills, basic knowledge of the appropriate accounting system.
* Basic computer knowledge.

Preferred Qualifications:

* EPIC experience.

This position is subject to a pre-employment criminal background check. A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.

UAMS is an Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence.


Physical RequirementsStand: OccasionallySit: ContinuouslyWalk: OccasionallyBend, crawl, crouch, kneel, stoop, or reach overhead: OccasionallyLift, push, pull, carry weight: 11 - 25 lbsUse hands to touch, handle, or feel: ContinuouslyTalk: FrequentlyHear: ContinuouslyTaste or smell: ContinuouslyRead, concentrate, think analytically: ContinuouslyPhysical Environment: Inside Office EnvironmentNoise Level: ModerateVisual Requirements: Color discrimination, Depth perception, Far visual acuity, Near visual acuityHazards: None