Refunds Representative
Description 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