The Healthcare Refund Clerk is responsible for processing and managing refund requests and ensuring accuracy in financial transactions related to patient accounts, insurance claims, and overpayments. This role involves coordinating with patients, insurance companies, and internal departments to resolve refund issues and maintain accurate financial records.
Key Responsibilities:
Refund Processing: Review and process refund requests for overpayments or adjustments on patient accounts, ensuring accurate calculation and proper documentation.
Account Reconciliation: Reconcile patient accounts and insurance payments to identify overpayments or discrepancies that require refunds.
Communication: Liaise with patients, insurance companies, and internal departments to address and resolve refund-related inquiries and issues.
Documentation: Maintain detailed records of all refund transactions, including request forms, approval documentation, and correspondence.
Reporting: Review reports on refund activity, account adjustments, and overpayment resolutions for management oversight.
Compliance: Ensure that all refund processes adhere to healthcare regulations, billing practices, and company policies.
Audit Support: Assist with internal and external audits by providing necessary documentation and information related to refunds and financial transactions.
