Credit Balance Refund Supervisor

Full Time
Posted Today
Job description
Overview: Job Summary:
  • The Credit Balance Refund Supervisor (Refunds Supervisor) is responsible for the for the daily operations of the Refunds department.
Responsibilities: Essential Functions and Tasks:
  • Supervises and trains assigned staff, conducts performance appraisals, makes employment and discipline recommendations, and coordinates work assignments.
  • Manages credit balance inventory to ensure credit balances and refund requests are resolved within expected turnaround times for both patient and insurance refund inventory.
  • Track trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements.
  • Tracks, maintains, and monitors employee metrics and ensures quality audits are completed timely and consistently.
  • Interacts with clients and Client Services teams by answering inquiries, providing credit balance reports, project updates, etc.
  • Participates in development and delivery of employee training courses and materials.
Qualifications: Education and Experience Requirements:
  • High School Diploma or Equivalent.
  • Two (2) years of experience reading medical Explanation of Benefits (EOB) statements and understanding credit balance/refund management.
  • One (1) year of experience posting medical payments to billing.
  • Six (6) months of supervisory/management/leadership experience preferred.
Knowledge, Skills, and Abilities (KSAs):
  • Experience processing electronic and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, and contractual allowances.
  • Strong working knowledge of department roles and responsibilities.
  • Strong supervisory/management skills.
  • Strong oral, written, and interpersonal communication skills.
  • Strong word processing, spreadsheet, database, and presentation software skills.
  • Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals.
  • Strong Excel experience using pivot tables and analyzing large datasets.
  • Strong interpersonal skills.
  • Strong time management skills.
  • Strong critical thinking skills.
  • Strong organizational skills.
  • Ability to read, understand, and apply state/federal laws, regulations, and policies.
  • Ability to remain flexible and work within a collaborative and fast paced environment.
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner.


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