Researches patient accounts on all requested refunds to determine if applied payment should be refunded. This includes reviewing explanation of benefits and contacting insurance carriers for additional information.

Essential Job Functions:

• Determines if applied payments should be refunded by researching patient accounts on all requested refunds or credit balances.
• Confirms how payment was applied to patient's account by reviewing explanation of benefits.
• Communicates with insurance carriers via phone to gather additional information needed to process requested refund.
• Performs all necessary adjustments within guarantor account and/or enters adjustments for refund when applicable.
• Enters all necessary notations in system to allow for proper communication and tracking.
• Enters refunds into the billing system.
• Maintains corresponding back up documentation on all adjusted and refunded accounts.
• Performs and assists with other department duties as needed.

Knowledge, Skills, and Abilities:

• Thorough knowledge of the payment processing functions and all related issues
• Knowledge of and skill in using personal computers in a Windows environment. Emphasis on basic spreadsheet applications and data entry.
• Ability to pay close attention to detail.
• Ability to identify, research and solve problems and discrepancies
• Ability to communicate with coworkers, management, and third-party payers in a courteous and professional manner.
• Ability to maintain confidentiality
• Ability to process assigned duties in an organized manner
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
• Ability to effectively perform in a multi-task environment
• Ability to work overtime as needed

Education and Experience:

• High school diploma or equivalent.
• At least one year of combined experience in a medical insurance, payment processing or insurance follow-up.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Application Question(s):

• Do you have experience working in Payment Posting or Patient Services (within the healthcare field)? - YES or NO
• Do you have experience maneuvering through various internet sites / resources to find specific details and information? YES or NO
• Do you have experience using Athena? YES or NO
• Do you have experience using Cedar?
• On a scale of 1-5, how knowledgeable are you on medical insurance? 1 = no knowledge / 5 = very proficient and knowledgeable
• Do you have experience working insurance and patient overpayments? YES or NO
• Do you have experience working in a production environment where you are expected to meet quotas or KPIs? YES or NO

Experience:

• Accounting: 1 year (Preferred)

Work Location: Remote

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