Refunds Representative
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US Heart & Vascular
Franklin, TN, US
Summary
The Refunds Representative reviews overpayment worklists and identifies valid insurance refunds through accurate research of claims and transactions. They are responsible for completing the refund request process and submitting it to the Finance department.
Job Description
Job Details: Job Location: USHV - Corporate Main - Franklin, TN, Position Type: Full Time, Education Level: High School Diploma/GED, Salary Range: Undisclosed, Travel Percentage: None, Job Shift: Day, Job Category: Other Positions, US 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
Qualifications:
Amazing Care, Extraordinary People – That’s USHV
US Heart and Vascular is a physician-led management platform enabling independent cardiologists to expand access to best-in-class cardiovascular care, improve patient outcomes, and strategically reduce costs to the healthcare system.
With 200+ physicians across six states, the USHV platform is dedicated to delivering evidence-based care and innovation in CV medicine. Our supportive environment fosters professional growth, work-life balance, and a collaborative culture through mentorship and career development.
USHV’s ongoing platform expansion opens doors for top medical professionals to join our network. Whether you are a practice leader seeking a platform, a medical professional seeking a high-quality clinical environment, or a non-clinical business administration expert who wants to support a growing and thriving community, visit our Careers page!
Founded
2021
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Franklin, Tennessee
Amazing Care, Extraordinary People – That’s USHV
US Heart and Vascular is a physician-led management platform enabling independent cardiologists to expand access to best-in-class cardiovascular care, improve patient outcomes, and strategically reduce costs to the healthcare system.
With 200+ physicians across six states, the USHV platform is dedicated to delivering evidence-based care and innovation in CV medicine. Our supportive environment fosters professional growth, work-life balance, and a collaborative culture through mentorship and career development.
USHV’s ongoing platform expansion opens doors for top medical professionals to join our network. Whether you are a practice leader seeking a platform, a medical professional seeking a high-quality clinical environment, or a non-clinical business administration expert who wants to support a growing and thriving community, visit our Careers page!
Founded
2021
Company size
1,001-5,000 employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Franklin, Tennessee
