Refunds Representative/Billing – Healthcare

Job Description:
Growing and Dynamic company looking to hire multiple Refunds Representative/Billing Representative with Healthcare background.

RESPONSIBILITIES
– Performs research to determine the validity of credit balance that is due for refund.
– Responsible for processing daily refund transactions and correspondence resolution.
– Provides support documentation of each refund research and transaction.
– Ensures compliance with state laws regarding refunds to patients and payers.
– Maintains knowledge of coordination of benefits requirements and processes.
– Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and follow-up activity.
– Responsible for all daily monthly reporting requirements.
– Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets department?s expectations and requirements, and gains customer trust and respect.
– Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
– Works with others to receive feedback on performance and create a personal developmental plan.
– Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria.
– May need to call patients and insurance companies to verify eligibility.
– May perform special assignments and other related tasks as assigned.

QUALIFICATIONS:
– Ability to type 35wpm (REQUIRED).
– High School Diploma or GED required. Some college coursework in business administration or accounting preferred.
– 2 years? experience with cash posting, reconciliation, and refunding processes within a multi-facility environment and experience with electronic deposit and posting process.
– Working knowledge of insurance carriers? payment regulations including various reimbursement schemes, coinsurance, deductibles and contractual adjustments is necessary as well as significant working knowledge of Business Services operations with specific focus on cash application
– Knowledge of basic math and the ability to perform math functions in units of American currency.
– Ability to review documents for accuracy and reasonability.
– Ability to work well under pressure.
– Tact and patience when dealing with individuals at all levels, both within and outside the company.
– Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company.
?
Flexibility is important is this role for immediate consideration please forward resume in a Microsoft Word Document and call the Act-1 Downtown LA office and ask for Azuri Ross. We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law. You can view all of our jobs online at http://www.act-1.com/?sc=11&id=1305514

Job Experience:
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