• Review processed refunds for accuracy, timeliness, and adherence to organizational and payer policies.
• Audit refund transactions including overpayments, duplicate payments, and credit balances to ensure correct financial resolution.
• Identify trends and root causes of refund errors and recommend process improvements.
• Collaborate with refund specialists, billing teams, and compliance to ensure proper documentation and workflow.
• Maintain QA scorecards and report findings to leadership on a regular basis.
• Assist in training team members based on QA findings and support implementation of corrective action plans.
• Ensure compliance with HIPAA, CMS, and payer-specific refund regulations.
• Participate in internal and external audits and support documentation requests.

Role: Other

Industry Type: Analytics / KPO / Research

Department: Other

Employment Type: Full Time, Permanent

Role Category: Other

Education

UG: Graduation Not Required

About the company

AGS is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nations largest healthcare organizations. Our client services team is second-to-none in collaborating with clients to achieve their revenue goals. Our RCM products and services ease our customers’ administrative and financial burdens, so they can focus on their core mission of providing high-quality patient care.