Refunds Representative

Job not on LinkedIn

🕒 September 1

🎸 Tennessee – Remote

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⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 20%

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Logo of US Heart and Vascular

US Heart and Vascular

1001 - 5000 employees

Founded 2021

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

US Heart and Vascular is the premier independent cardiovascular partnership that partners with cardiology practices to accelerate growth, expand access, and improve quality while lowering total cost of care. USHV provides a platform of operational and administrative support—payor contracting, revenue cycle management, recruiting, scheduling and staffing, analytics and data, compliance and credentialing, site-of-service strategy (including ASC utilization), and other practice enablement services—while preserving local physician leadership and practice autonomy.

📋 Description

• Review overpayment worklist and credit balances • Identify valid insurance refunds through accurate research of claims, payment posting, adjustment posting, and all other transactions associated to accounts • Complete the refund request process for submission to Finance • Adapt to changing priorities, processes, and business needs • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED from accredited institution • One (1) year of medical office billing, payment posting and collections experience or equivalent • 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. • If the individual in the role will drive for work purposes, a current valid state driver’s license and required minimum auto insurance coverage

🏖️ Benefits

• Comprehensive benefits package • Monday-Friday schedule • CME allowance

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