Refunds Representative (2765)

US 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.

• Is responsible for completing refund process and tasks in the EMR.

• Maintains records for Federal, State, and other appropriate license accreditation.

• Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training.

• When position requires travel to/from other locations, ensures vehicles are operated and maintained in compliance with all safety, regulatory, and company requirements.

• Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively.

• Demonstrates integrity, professionalism, and respect in all interactions.

• Follows processes and policies for the organization.

• Reports to work as scheduled, ready to perform duties, and promptly notify their supervisor of any attendance issues.

• Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training.

• When position requires travel to/from other locations, ensures vehicles are operated and maintained in compliance with all safety, regulatory, and company requirements.

• Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively.

• Demonstrates integrity, professionalism, and respect in all interactions.

• Follows processes and policies for the organization.

• Reports to work as scheduled, ready to perform duties, and promptly notifies their supervisor of any attendance issues.

• 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.