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Refund Representative - 3965 in Brentwood, TN at PathGroup

Date Posted: 6/30/2018

Job Snapshot

Job Description

JOB SUMMARY:

The Refund Representative, under the direction of the Refund Supervisor performs the daily activities of researching and resolving accounts with credit balances.

JOB RESPONSIBILITIES

ESSENTIAL FUNCTIONS:

  • Review/process daily credit balances
  • Research and locate supporting documentation for processing refund (EOBs, Patient Payments, etc.).
  • Utilize fee schedules to compare with insurance payments and verify COB
  • Contact Insurance Companies as needed to verify patient information and obtain EOB for posting to correct account for payments applied to unresolved.
  • Write and submit Account Problem Sheets when necessary.
  • Review/process historical credit balances
  • Research/Process insurance company refund letters.
  • Perform all job responsibilities in alignment with the industry’s best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data.
  • Must be familiar with and abide by the Corporate Compliance Program and all Corporate policies, including the Privacy and Security policies.

Job Requirements

EDUCATION & LICENSURE:

  • High school diploma or GED is required.

REQUIREMENTS:

  • One year of prior job-related experience is required.