Refunds Representative (3278)

Posted Yesterday
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Hiring Remotely in 37067, Franklin, TN, USA
In-Office or Remote
Junior
Healthtech • Professional Services
The Role
Reviews overpayment worklists and credit balances, researches claims and account transactions to identify valid insurance refunds, and submits completed refund requests to Finance. The role requires accurate payment and adjustment posting, knowledge of EOBs, ICD and CPT codes, medical billing systems, EMR systems, and applicable regulations. It also involves adapting to changing priorities, maintaining professional customer service, and performing related duties.
Summary Generated by Built In

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


Skills Required

  • High School Diploma or GED from an accredited institution
  • One year of medical office billing, payment posting, and collections experience or equivalent
  • Current valid state driver's license and required minimum auto insurance coverage if driving for work purposes
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The Company
HQ: Franklin, TN
837 Employees
Year Founded: 2021

What We Do

US Heart & Vascular is a leading national provider of support services to cardiovascular physician practices, focused on enabling independent cardiologists to thrive by improving patient care and reducing healthcare costs.

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