Healthcare Refunds & Reconciliation Specialist

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 40,000 - 52,000; Full time

Job summary

Kingman Regional Medical Center is seeking a Refund Specialist in the Patient Financial Services department to ensure accurate refunds and timely follow-up on uncashed checks. You will handle voids, reissues, and stop payments, while maintaining HIPAA confidentiality and reviewing refund requests from patients and insurers.

The role requires knowledge of medical billing, CPT/ICD-9 coding, and payer processes, with at least 1 year in healthcare billing.

Qualifications

• High School Diploma or equivalent.
• 1+ year of experience in medical billing, accounts receivable, or cash reconciliation in a hospital/clinic setting.
• 1+ year of experience in healthcare billing.
• Knowledge of CPT/ICD-9 coding, billing, denials, and payment posting workflow.

Responsibilities

• Prepare Refund Request Forms and supporting documentation to issue refunds accurately and promptly.
• Follow up on checks that have not cleared the bank and research checks returned for insufficient address.
• Submit uncashed refund checks to the appropriate state annually per unclaimed property laws.
• Facilitate voids, reissues, and stop payment requests with the Facility Accounts Payable Department.
• Maintain HIPAA patient confidentiality standards for medical and financial information.
• Review and respond to patient and insurance refund/offset requests.
• Provide insights from refund data to identify trends and suggest improvements to reduce cancellations and improve customer experience.
• Identify situations warranting contractual adjustments by comparing billed amounts to amounts allowed by Medicare/Medicaid or managed care contracts.
• Perform other duties to support department and organization.

Skills

Medical terminology

CPT/ICD-9 coding

Billing & collections

EOB/ERA analysis

UB-04/CMS-1500 knowledge

MS Office (Excel)

Multi-tasking

Payment posting

Education

High School Diploma or Equivalent

Tools

Microsoft Office (Word/Excel)

Job description

Kingman Regional Medical Center is seeking a Refund Specialist in the Patient Financial Services department to ensure accurate refunds and timely follow-up on uncashed checks. You will handle voids, reissues, and stop payments, while maintaining HIPAA confidentiality and reviewing refund requests from patients and insurers.

The role requires knowledge of medical billing, CPT/ICD-9 coding, and payer processes, with at least 1 year in healthcare billing.