Refunds Representative (3278)

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.

• 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