Refunds Representative

US Heart & Vascular; Franklin (TN); On-site; USD 33,000 - 44,000; Full time

Benefits offered by this job

Comprehensive benefits package

CME allowance

Monday-Friday schedule

Job summary

US Heart and Vascular in Franklin, TN is seeking a Refunds Representative to join our team. The role focuses on reviewing overpayment worklists, researching claims and EOBs, and submitting refunds to Finance for processing.

Ideal candidates will have at least 1 year in medical billing or related field, proficiency with ICD/CPT codes, EMR and practice management systems, and strong customer service skills. Comprehensive benefits and CME allowance offered.

Qualifications

• High School Diploma or GED from an accredited institution.
• Knowledge of federal, state, and local laws, codes, and standards.
• Experience with medical billing, payment posting and collections.
• Familiarity with EOBs, ICD/CPT codes, and billing software.

Responsibilities

• Reviews overpayment worklist and credit balances.
• Identifies valid refunds through claims research and posting.
• Completes refund requests and submits to Finance.
• Adapts to changing priorities and processes.
• Performs other duties as assigned.

Skills

Laws and regulations knowledge

EOB knowledge

Data processing policies

ICD and CPT codes

Medical billing systems

EMR systems

Practice Management System accuracy

Customer service skills

Office 365 (Excel, Outlook, Word)

Education

High School Diploma or GED

Tools

EMR systems

Practice Management System

Office 365 suite

Job description

Job DetailsJob Location: USHV - Corporate Main - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDTravel Percentage: NoneJob Shift: DayJob 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.
• 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.

Why Choose Us?

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