About this role
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
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