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