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Full-time
high school
Posted 25d ago
~40 hrs/week
Remote in Franklin, Tennessee, United States
Responsibilities
The role involves reviewing overpayment worklists and credit balances to identify valid insurance refunds through claims research. The representative is responsible for completing the refund request process within the EMR and submitting requests to Finance.
Requirements
Candidates must have a High School Diploma or GED and at least one year of experience in medical office billing, payment posting, and collections. Proficiency in EMR systems, ICD/CPT codes, and Office 365 is required.
Full job description
Job DetailsJob Location: USHV - Corporate Main - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDJob Category: Other PositionsUS 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.
Is responsible for completing refund process and tasks in the EMR.
Maintains records for Federal, State, and other appropriate license accreditation.
Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training.
When position requires travel to/from other locations, ensures vehicles are operated and maintained in compliance with all safety, regulatory, and company requirements.
Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively.
Demonstrates integrity, professionalism, and respect in all interactions.
Follows processes and policies for the organization.
Reports to work as scheduled, ready to perform duties, and promptly notify their supervisor of any attendance issues.
Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training.
When position requires travel to/from other locations, ensures vehicles are operated and maintained in compliance with all safety, regulatory, and company requirements.
Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively.
Demonstrates integrity, professionalism, and respect in all interactions.
Follows processes and policies for the organization.
Reports to work as scheduled, ready to perform duties, and promptly notifies their supervisor of any attendance issues.
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.
Qualifications
Related keywords
Medical BillingPayment PostingCollectionsEMRICD CodesCPT CodesEOBCredit BalancesInsurance RefundsOffice 365ExcelHealthcare FinancePractice Management System
Innovating the processes, infrastructure, and value-based systems that will be the future of cardiovascular care.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2021
Headquarters
Franklin, Tennessee
LinkedIn followers
4,052
Amazing Care, Extraordinary People – That’s USHV
US Heart and Vascular is a physician-led management platform enabling independent cardiologists to expand access to best-in-class cardiovascular care, improve patient outcomes, and strategically reduce costs to the healthcare system.
With 200+ physicians across five states, the USHV platform is dedicated to delivering evidence-based care and innovation in CV medicine. Our supportive environment fosters professional growth, work-life balance, and a collaborative culture through mentorship and career development.
USHV’s ongoing platform expansion opens doors for top medical professionals to join our network. Whether you are a practice leader seeking a platform, a medical professional seeking a high-quality clinical environment, or a non-clinical business administration expert who wants to support a growing and thriving community, visit our Careers page!
Offices: 341 Cool Springs Blvd, Suite 305, Franklin, Tennessee 37067, US
Based on 1129 listings with disclosed salaries, most healthcare jobs in Tennessee pay between $63k–$154k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Tennessee right now?
There are currently 12,659 open healthcare positions in Tennessee listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Tennessee?
Companies currently hiring include Ascension, Covenant Health, Vanderbilt University Medical Center, Erlanger, Baptist Memorial Health Care, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Tennessee?
Yes — 1249 of the 12659 open healthcare positions offer remote or hybrid work (685 remote, 564 hybrid).
How do I apply for Healthcare jobs in Tennessee?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.