Payment Posting - Insurance Refunds Representative

1776 S. Queen St • York, PA

4d

About The Position

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times. Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation. Are you ready to provide a 5-star “OSSOME” experience? Apply today! JOB SUMMARY: Reporting to the Revenue Cycle Manager, the Payment Posting - Insurance Refunds Representative is a key member of the Revenue Cycle team responsible for reviewing insurance overpayments, submitting voided claims, discovery to the payers or issue a refund check the insurance company.

Requirements

• High school diploma or GED required OR 5 years of work experience.
• At least 2 years of experience in medical payment posting for a hospital, clinic, or doctor’s office required.
• Must possess excellent organizational, time management, and communication skills.
• Must be able to prioritize duties and communicate directly with insurance companies, patients, physicians, co-workers and .
• Extensive experience posting Electronic Remittance Advices (ERA) and paper remittances, reviewing lock boxes, auto posting files, and balancing all cash postings back to remittance and daily deposit totals.
• Must be a team player and willing to work with all staff to get the overall job accomplished. Must maintain a cooperative working relationship with all and handle difficult situations tactfully.
• Must have the ability to review and understand written material pertaining to orthopaedics and health care, including terminology and reimbursement issues.

Nice To Haves

• An associate degree from a Medical Billing program is preferred.
• Experience with Medent or CPSI software preferred.

Responsibilities

• Reviews overpayment documentation, EOBs and AR Task Notes to determine if a refund is valid .
• Collaborates with Payment Posting, Insurance AR Follow-up, Billing, Revenue Integrity, and Accounts Payable .
• Reconciles adjustments, refunds and payments.
• Escalates difficult or recurring issues to the Payment Posting Team Lead.
• Demonstrates good judgment in safeguarding OSS information to include confidentiality of all medical and patient information.
• Follows all policies and procedures of OSS.
• Other duties as assigned.

Benefits

• Competitive Wages
• Medical, Dental, Vision available on the first day of employment
• Disability, and Life Insurance within 90 days
• Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan and profit sharing
• Career Advancement Opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED