Remote Refund Analyst – Healthcare RCM

Talentify; Chattanooga (TN); Remote; USD 21,000 - 30,000; Full time

Benefits offered by this job

Competitive benefits

Paid time off

401k with match

No weekends - work-life balance

Job summary

MedSrv, LLC is seeking a Refund Analyst to join our CBO Cash Management team. You will promptly identify and rectify overpayments, review accounts with credit balances, and issue refunds while maintaining accurate financial records and customer satisfaction.

You will handle credit balance reviews, prepare refund letters with EOBs, and ensure proper documentation and coding are applied to each case. This full-time role emphasizes accuracy and timeliness in a healthcare revenue cycle setting.

Qualifications

• A high school diploma or equivalent is required.
• Minimum of one year of relevant experience and/or training preferred.
• A comparable combination of education and experience will also be considered.

Responsibilities

• Review and work Credit Balance Reports by provider group/Work Queue daily.
• Prepare refund letters with supporting EOBs/documentation; save to designated folder for mailing with refund checks.
• Document accounts with refund reasons and apply correct Kickcodes when needed.
• Open cases for posting errors; pend claims until resolved.
• Report posting errors to Directors for correction.
• Follow up on unresolved cases older than 10 days.
• Use payer websites for updated refund policies and overpayment forms.
• Send Overpayment Letters with EOBs to insurers to determine if overpayments can be recouped from future remits.
• Adjust credit balances for all carriers (except Government) with the correct adjustment code when OPL letters are sent.
• For Government carriers, apply the correct Kickcode once OPL letters are sent.
• Work all correspondence within 7 days of receipt.
• Maintain productivity standards: 5 claims per hour / 40 accounts per day.
• Meet established performance goals within 90 days of employment

Education

High school diploma or equivalent

Job description

MedSrv, LLC is seeking a Refund Analyst to join our CBO Cash Management team. You will promptly identify and rectify overpayments, review accounts with credit balances, and issue refunds while maintaining accurate financial records and customer satisfaction.

You will handle credit balance reviews, prepare refund letters with EOBs, and ensure proper documentation and coding are applied to each case. This full-time role emphasizes accuracy and timeliness in a healthcare revenue cycle setting.