Account Investigator, Quality Assurance Refunds

Zotec Partners•, (Multiple States)
•Remote

About The Position

Zotec Partners is seeking an Account Investigator to join its Quality Assurance Refunds team. This remote role is responsible for timely resolution of credit balances by analyzing patient accounts to determine whether refunds or adjustments are needed for patients or insurance carriers. The position involves investigating patient accounts, applying knowledge of carrier types and medical accounts receivable, and resolving account issues with care and attention to detail.

Requirements

  • High school diploma or equivalent.
  • Ability to understand, analyze, and interpret medical billing documentation and data.
  • Physician billing experience in at least one of the following areas: accounts receivable, refunds, or payments.
  • Strong organizational skills and verbal and written interpersonal communication skills.
  • Ability to understand critical issues and resolve them through problem-solving and attention to detail.
  • Ability to prioritize workload and meet specific goals and objectives.
  • Professional use of discretion and independent judgment in day-to-day work.
  • Ability to collaborate effectively within a team setting.

Responsibilities

  • Conduct extensive investigations into patient accounts, determining whether refunds are needed.
  • Use knowledge of commercial and governmental carrier types.
  • Apply understanding of medical accounts receivable to account analysis and problem-solving.
  • Perform other duties as assigned.
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