Refunds Representative

Job Details: Job Location: USHV

• Corporate Main
• Franklin, TN, Position Type: Full Time, Education Level: High School Diploma/GED, Salary Range: Undisclosed, Travel Percentage: None, Job Shift: Day, Job Category: Other Positions, 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 Qualifications: