Refunds Specialist (REMOTE) Job at Revenue Cycle Service Center
Candidates must live within one of the following states to be eligible for this position; Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin, Wyoming
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
- Reconcile payments and adjustments on patient accounts to ensure proper transaction codes and amounts have been applied
- Identify trends in erroneous postings and report to supervisor
- Submit accurate corrections to erroneous postings with regards to transaction codes and transaction amounts
- Push accounts through the proper channels to ensure efficient flow through the revenue cycle
- Research credit balance accounts to determine if a payer or patient has overpaid on the account
- Price claims using contracts, prices, and payment methodologies to validate refund requests from payers
- Pull documentation needed to support the patient or insurance refund request
- Accurate completion of refund request forms and all daily workload
- Consistently meet or exceed productivity expectations set for by leadership
- Ability to perform all other duties as assigned or requested
QUALIFICATIONS
The requirements listed below are representative of the education, experience, knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
REQUIRED
- High School Graduate minimum education requirement
- Knowledge of Word Processing software, Spreadsheet software and E-mail software
PREFERRED
- Associate's Degree
- Six months related work experience
KNOWLEDGE, SKILLS, AND ABILITIES
- Ability to define problems collects data, validate data, establish facts, and draw valid conclusions
- Knowledge of medical terminology
PHYSICAL DEMANDS
In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:
- Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
- Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
- Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.
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