Refunds Representative (3278)

US Heart & Vascular; Franklin (TN); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Comprehensive benefits package

Monday–Friday schedule

CME allowance

Job summary

US Heart & Vascular is seeking a Remote Refunds Representative to join our team in Franklin, TN. The role focuses on reviewing overpayments, identifying valid insurance refunds, and submitting refund requests to Finance.

The position requires accuracy in data handling, familiarity with medical billing, and proficiency in Office 365 tools. Monday–Friday schedule with comprehensive benefits is offered.

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.

Responsibilities

• 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.

Skills

Attention to detail

Customer service

Medical billing knowledge

Data entry

ICD/CPT coding

EMR systems

Office 365

Education

High School Diploma or GED

Tools

Excel

Outlook

Word

PowerPoint

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.
• Identifiesvalid insurance refunds throughaccurateresearch of claims, payment posting, adjustmentpostingand all other transactions associatedtoaccount.
• Completes the refund request process tosubmitto 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 inmaintaininga 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 fromaccreditedinstitution.
• One (1) year of medical office billing, payment posting andcollectionsexperienceor equivalent.
• If the individual in the role will drive for work purposes, a current valid state driver’s license andrequiredminimum auto insurance coverage.

Why Choose Us?

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