Refund Specialist

Stelle nicht auf LinkedIn

🕒 vor 11 Tagen

🏈 Ohio – Remote

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💵 $16 - $30 / Stunde

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of USACS

USACS

11 - 50 Mitarbeiter

Gegründet 2010

💼 Beratung

📦 Logistik

📣 Marketing

Consulting • Logistics • Marketing

USACS ist die Undergraduate Student Alliance of Computer Scientists an der Rutgers University, die Veranstaltungen organisiert und kollaborative Räume für Informatikstudenten betreibt. Sie unterhält Ressourcen wie die Coding and Social Lounge (CSL), ein Linux-station Command Center, einen Hackerspace mit 3D-Druckern, Robotik und Oculus Rifts sowie einen Makerspace für praktische Hardwareprojekte. USACS hilft Studenten, sich außerhalb des Klassenzimmers zu engagieren, indem es Workshops, soziale Veranstaltungen und Zugang zu Werkzeugen und Einrichtungen für den Bau von Hard- und Softwareprojekten bietet.

Beschreibung

• Research patient accounts to identify and resolve overpayments. • Verify payment application details for accuracy. • Analyze internal deposit and payment batches to trace deposit origins and detect duplicate postings. • Use Cedar Patient Portal to confirm payment information and initiate refunds. • Correct posting discrepancies in the Athena Billing System. • Enter cases and document corrections within the Athena system. • Perform guarantor account adjustments and process refunds. • Ensure claims are adjudicated correctly by understanding payer-side claim processes in Athena. • Maintain comprehensive system notations for communication and activity tracking. • Initiate refunds through Cedar Patient Portal or Athena Billing System. • Execute refund check processes, including reissue, void, and returned checks. • Maintain backup documentation for adjusted and refunded accounts for audit readiness. • Communicate with coworkers, management, third-party payors, and patients. • Assist with additional departmental duties as assigned.

🎯 Anforderungen

• High school diploma or equivalent required. • Minimum of two years combined experience in medical insurance, payment processing, or insurance follow-up preferred. • Experience with Insurance Websites/Portals/Overpayment Forms required. • Strong knowledge of Coordination of Benefits including Government and Commercial Carriers required. • Proficient in review of Explanation of Benefits and Posting required. • Strong knowledge in Payer initiated recoupments required. • Experience with AthenaOne Billing System is preferred but not mandatory. • In-depth knowledge of payment processing functions, medical insurance, government payors, and related terminology. • Proficiency in using personal computers within a Windows environment, including spreadsheet applications and data entry tools. • Strong attention to detail and excellent problem-solving skills. • Effective verbal and written communication skills, maintaining professionalism and confidentiality. • Ability to organize workload, manage multiple tasks, and adapt to changing priorities. • Willingness and ability to work overtime as needed. • Ability to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds. • Must have close visual acuity to perform job duties accurately.

🏖️ Vorteile

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Bonus eligibility, equity, or other incentive programs, depending on the role

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