ABOUT WILMINGTON HEALTH

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Responsible for reconciling all line item credits, for patients and insurance credits, by moving money, correcting write offs, adding write offs, preparing refund material and posting refunds
• Use of various software programs such as electronic medical records (EMR) system NextGen, Refund Manager, Availity, and Blue E to pull explanation of benefits and other back up documentation
• Working high priority credit tasks
• Process insurance refund requests and phone requests
• Work patient credits
• Process insurance overpays, billing corrections and making phone calls relating to coordination of benefits
• Export refund batches for the accounting department in order to create refund checks with Refund Manager
• Import refund check numbers via Refund Manager, match and mail out

OTHER DUTIES:

• As assigned by manager

QUALIFICATIONS

REQUIRED:

• HS Diploma or equivalency

PREFERRED:      

ADA PHYSICAL DEMANDS:

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

PHYSICAL DEMAND

REQUIRED?

FREQUENCY

Standing

Sitting

Walking

Kneeling/Crouching

Lifting

Required Skills

REFUND ANALYST COMPETENCIES

GENERAL

1. Customer Service
2. Professionalism/Integrity/Responsibility
3. Teamwork/Process Focus
4. Dependability/Punctuality
5. Interpersonal Relationships/Communication
6. Judgment/Decision Making/Problem Solving
7. Quality/Quantity
8. Initiative
9. Safety/Housekeeping
10. Organizational Skills/Time Management

Required Experience

REFUND ANALYST COMPETENCIES

GENERAL

1. Customer Service
2. Professionalism/Integrity/Responsibility
3. Teamwork/Process Focus
4. Dependability/Punctuality
5. Interpersonal Relationships/Communication
6. Judgment/Decision Making/Problem Solving
7. Quality/Quantity
8. Initiative
9. Safety/Housekeeping
10. Organizational Skills/Time Management