Refund Specialist II - REMOTE

US Anesthesia Partners, Inc.

3d•$18 - $29•Remote

About The Position

The Refund Specialist II validates and tracks credits due to insurance companies, patients and other payers. The incumbent of this role is responsible for understanding payor contracts and preparing refund requests. This role may also be assigned to post payments and perform essential cash management duties. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $18.17 - $29.04 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.”

Requirements

Highschool diploma or equivalent required.
Minimum of three years of medical billing experience required.
Knowledge of medical terminology and computer literacy are required.
Familiarity with payor contracts.
2+ years posting experience.
Basic office skills required; advanced office skills preferred.
Strong working knowledge of Excel.
Strong communication skills both oral and written.
Accurate data entry skills.
Attention to detail a must.
Ability to identify trends in underpayments/overpayments.

Responsibilities

Reviews refund requests daily for completeness.
Submits refund requests in good order for approval daily.
Compiles and sends the necessary documentation for refund checks processing bi-monthly.
Tracks essential check posting information.
Updates the Credit Balance Spreadsheet daily when checks clear the bank.
Compiles refunds that have cleared the bank for posting.
Ensures all refund checks cleared within the posting month are gathered and delivered before monthly close.
Performs follow-up on checks that have not cleared the bank, and research’s checks that are returned for insufficient address.
Prepares Refund Request Forms and supporting documentation regarding overpayment calculations.
Assists with audits of adjustments and payment posting.
Daily/weekly/monthly balancing of all posting activity performed.
Tracks renewal dates on all contracts via contracts calendar.
Manages all incoming updated reimbursement summaries.
Maintains HIPAA patient confidentiality standards for medical and financial information.
Performs all other duties as assigned.