• Review patient and insurance accounts to identify negative balances and determine refund eligibility.
• Initiate and follow up on claim refunds with insurance companies and patients.
• Investigate discrepancies in payment postings, adjustments, and overpayments.
• Collaborate with billing and payment posting teams to ensure accurate account reconciliation.
• Document all refund activities and maintain audit-ready records.
• Communicate effectively with insurance representatives and patients to resolve refund-related queries.
• Ensure compliance with HIPAA, company policies, and payer-specific guidelines.
• Meet productivity and quality targets for refund processing and negative balance resolution.