Credit/Refunds Coordinator

Description

CREDIT/REFUNDS COORDINATOR

As a fast growing company, Tennessee Oncology has an eye firmly on the future. We offer a wide spectrum of services that reach cancer patients within our 40 clinics throughout Middle Tennessee. 

Tennessee Oncology is seeking an experienced Credit/Refunds Coordinator to join our Patient Accounting team.  This is an excellent opportunity for long term success with an established, stable and successful practice. 

For over a quarter of a century, Tennessee Oncology has provided the highest quality of oncology care to the communities of Middle Tennessee. Our commitment to leadership and excellence in oncology patient care, clinical research and innovative treatment protocols and providing education and emotional support for the entire patient entity is what motivates us to continually invest in the latest technology and attract the most talented team of healthcare professionals. See for yourself how our team of physicians and staff are advancing oncology care and healthcare careers in our communities at http://www.tnoncology.com/

SUMMARY
The credit coordinator position is responsible for evaluating credit balances, preparing and/or disputing refund requests. This position requires in depth knowledge of COB rules pertinent to making order of benefit determinations, attention to payment detail, and good interpretive skills.

KEY RESPONSIBILITIES AND DUTIES
• Evaluate daily credit balances which are created at the time of payment posting.
• Research credits/refund requests to determine the appropriate overpaid party.
• Prepare refund requests for approval and check issue by Accounts Payable or for offset by payer.
• Maintain batch files of completed requests, review to ensure overpayment has been facilitated.
• Post and mail all refunds.
• Identify posting issues attributable to creating credit balances and relay this information to the Team Leader for audit purposes.
• Evaluate any refund/overpayment requests received. Responding appropriately by preparing to refund or written dispute.
• Transfer money when necessary.
• Understand and refer to managed care profiles, AWP grids, and other tools necessary to determine legitimate credits. Advise Team Leader of payer issues as identified.
• Complete a daily task log and submit to the Team Leader at the end of each month.
• Communicate with external departments, i.e., Registration, Front Office, etc, to obtain information required in resolving credit balances or refund requests.

Requirements • Detailed knowledge of Medical Billing Required
• Detailed knowledge of HCPCS, CPT and ICD codes Required 
• Previous credit and refunds experience preferred
• Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.
• Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
• Exceptional Multi-tasking, organizational skills and superb attention to detail.
• Strong analytical skills.
• Skill in negotiating issues and resolving problems.
• Must possess high degree of professionalism and adaptability.


Hours: 8:00 - 4:30

Schedule: Monday - Friday

Location: Downtown Nashville

Business Casual Environment

Tennessee Oncology offers competitive compensation, excellent work schedule (M-F) and a comprehensive benefits package. Most benefits begin immediately. Our benefits package includes Medical, Dental, Life, Disability Insurances, 401(k) and Profit Sharing Plan.