The Refunds Representative reviews overpayment worklists and identifies valid insurance refunds through accurate research of claims and transactions. They are responsible for completing the refund request process and submitting it to the Finance department.
Job DetailsJob Location: USHV - Corporate Main - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDTravel Percentage: NoneJob Shift: DayJob Category: Other PositionsUS Heart and Vascular is needing a Remote Refunds Representative to join our team.
Responsibilities & Duties
Reviews overpayment worklist and credit balances.
Identifies valid insurance refunds through accurate research of claims, payment posting, adjustment posting and all other transactions associated to account.
Completes the refund request process to submit to Finance.
Adapts to changing priorities, processes, and business needs.
Performs other duties as assigned.
Knowledge, Skills and Abilities Required
Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
Knowledge of explanation of benefits (EOBs) from carriers.
Knowledge of data processing policies, procedures, and concepts.
Knowledge of ICD and CPT codes.
Knowledge of computerized medical office billing systems.
Working knowledge of EMR systems.
Skill in maintaining a high degree of accuracy when posting information to the Practice Management System.
Skill in customer service, including interacting professionally with patients and healthcare staff.
Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.
Minimum Qualifications
High School Diploma or GED from accredited institution.
One (1) year of medical office billing, payment posting and collections experience or equivalent.
If the individual in the role will drive for work purposes, a current valid state driver’s license and required minimum auto insurance coverage.
Why Choose Us?
Comprehensive benefits package
Monday-Friday schedule
CME allowance
Qualifications
“I was the first applicant for a remote marketing position that got listed on the company website the same day I applied. Had an interview within 48 hours!”