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Position Summary:

The Refund Specialist reports to the Claims Manager. This position is responsible for handling the processing of voids and refunds.

Principal Duties & Responsibilities:

+ Processes all voids and refunds

+ Handles all stop payments

+ Coordinates refunds with Finance department

+ Maintains refunds at a 30-day TAT

+ Performs other duties as assigned

General Expectations** **:

+ Present a positive image of Consociate Health at all times.

+ Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a client, coworker, or supervisor.

+ Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.

+ Identify and perform work that has not been specifically assigned, as needed.

+ Adheres to established safety standards and utilizes proper techniques to avoid work-related injuries.

+ Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.

+ Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Claims Department.

+ Attend required in-service and staff meetings.

+ Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups, individuals and employees.

Service Expectations:

+ Greet all people in a prompt and courteous manner. Communicates in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.

+ Respond to client requests in a timely manner, returning calls promptly and keeping them informed of delays before they ask.

+ Take appropriate steps to resolve problems to the clients satisfaction.

+ Seek opportunities, provide value-added services, and eliminate tasks that do not serve our clients or staff.

+ Remain aware of products and services provided by Consociate Health.

+ Project a positive, professional image when working.

Knowledge, Skills and Ability Requirements:

+ High School Education required.

+ Claims Processing Experience required. Experience processing claims adjustments and refunds preferred.

+ Minimum of one to three years of experience working with the public. Previous insurance billing or customer service background recommended.

Physical and Mental Abilities** **:

+ Ability to perform sedentary work for extended periods of time.

+ Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.

+ Ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.

Reporting Structure:

+ Reports to the Claims Manager

Working Conditions** **:

+ Work is performed remotely.

+ Overtime as needed may be requested.