About this role
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 drivers license and required minimum auto insurance coverage.
Why Choose Us?
- Comprehensive benefits package
- Monday-Friday schedule
- CME allowance