Coordinator, Revenue Cycle Management, Patient Refunds
WFA Digital Insight
The demand for skilled revenue cycle management professionals grew 25% in the last year, driven by the need for efficient healthcare billing and payment processes. With the rise of remote work, companies like Cardinal Health are looking for experts who can work independently and as part of a team to manage patient refunds and revenue cycle operations. As the healthcare industry continues to evolve, professionals with strong analytical and problem-solving skills are in high demand. Before applying, candidates should be aware of the importance of attention to detail and the ability to work with electronic health records and billing software. With the right skills and experience, this role can be a great opportunity for career growth and development in the healthcare industry.
Job Description
About the Role
The Coordinator, Revenue Cycle Management, Patient Refunds is a critical role at Cardinal Health, responsible for analyzing data to determine whether a refund is warranted and administering refunds accordingly. This role is part of the Revenue Cycle Management team, which oversees the business and administrative operations of a medical practice. The team is focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. As a Coordinator, Revenue Cycle Management, Patient Refunds, you will be working closely with the billing team, accounting department, and other stakeholders to ensure that patient refunds are processed efficiently and accurately.
What You Will Do
- Review EOBs and ensure allowances, adjustments, unallocated payments, and overpayments are posted correctly
- Review refund requests submitted by the billing team for accuracy, before sending to the accounting department for processing
- Review and resolve accounts with credit balances/request refunds and/or adjustments as necessary
- Generate reports to identify outstanding credit balances and prepare overpayment packages as necessary
- Initiate and work up refund requests for overpayments
- Process refunds and credit balances to patients or payers
- Identify account problems, patterns, and trends
- Assist with additional payment-related functions as necessary
- Assist and respond to reports in a professional manner
- Comply with state/federal regulations and adhere to HIPAA and PHI guidelines
- Identify patient accounts with credit balances to determine whether or not a refund is due to the patient and/or insurance company
- Communicate refund status with patients/insurance companies
- Maintain refund tracking spreadsheet for all refund requests
- Follow up on requests submitted to ensure payment has been received
- Post adjustment and or payment corrections to patient accounts in billing software
What We Are Looking For
- 2 or more years’ experience working with medical refunds preferred
- High School Diploma or equivalent degree preferred
- Associate’s degree preferred
- Previous healthcare billing and/or payment posting experience required
- Basic computer knowledge (Windows, MS Word, MS Excel, Internet)
- Understanding of Electronic Response Admittances (ERAs) and Explanation of Benefits (EOBs) preferred
- Strong Attention to detail
- Ability to interact effectively and professionally with individuals at all levels; both internal and external
- Must be able to work as part of a team
- Knowledge of medical terminology preferred
- Knowledge of health insurance preferred
- Familiarity with Chemotherapy and Radiation Billing preferred
Nice to Have
- Experience with revenue cycle management software
- Certification in medical billing or coding
- Experience working in a fast-paced healthcare environment
Benefits and Perks
- Competitive hourly rate
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay date
- Medical, dental and vision coverage
- Opportunity to work with a leading healthcare company
- Remote work options
- Professional development and growth opportunities
- Recognition and reward programs
How to Stand Out
- Make sure to highlight your experience with medical refunds and revenue cycle management in your resume and cover letter.
- Be prepared to talk about your understanding of Electronic Response Admittances (ERAs) and Explanation of Benefits (EOBs) in the interview.
- Familiarize yourself with the company’s revenue cycle management software and be ready to ask questions about it during the interview.
- Emphasize your attention to detail and ability to work accurately in a fast-paced environment.
- Research the company culture and values to show your enthusiasm for the role and the company.
- Prepare examples of how you have handled complex refund requests or revenue cycle issues in the past.
- Don’t be afraid to ask about opportunities for professional development and growth within the company.
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