Envision Radiology is looking for a Remote Full Time Refund Specialist to join
our team!
Open to AL, AZ, CO, FL, ID, LA, MO, NE, OK, TX, UT, VA, & PA Markets
Monday - Friday, 40 hours/week | Position Pay Range $18.20 - $21.93
Summary/Objective
The Refund Specialist is responsible for reviewing patient accounts, identifying
patient & insurance overpayments and credit balances. This position works
closely with insurance companies and internal billers to reconcile correct
payments received. Additionally, evaluates and verifies accounts in accordance
with program provisions. This will include data entry, posting payments,
reconciling billing & invoices, checking balances, maintaining patient files and
requesting refunds.
Essential Functions
1. Identifies credit balances due to electronic or manual insurance
overpayments, patient overpayments, and adjustments resulting from denials
or contractual allowances.
2. Investigates and resolves assigned credit balance accounts by ticketing
system, credit balance tickler or emails.
3. Corrects patient and insurance payments to patient accounts, calculates,
enters and corrects contractual adjustments and patient discounts if needed.
4. Issues patient and insurance refunds.
5. Detects posting and payer trends and/or errors.
6. Handles both internal and external phone calls regarding credit balances and
refunds.
7. Other duties as assigned.
Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.
Competencies
1. Financial Management.
2. Ethical Conduct.
3. Thoroughness.
4. Organization Skills.
5. Personal Effectiveness/Credibility.
Supervisory Responsibility
This position has no supervision responsibilities.
Work Environment
This job operates in a professional office environment. This role routinely uses
standard office equipment such as computers, phones, photocopiers, filing
cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to
use hands and fingers to handle, feel or operate objects, tools or controls, and
reach with hands and arms. The employee is frequently required to talk and hear.
Travel
No travel is expected for this position.
Job Qualifications
Minimum Qualifications / Experience:
Three plus years’ experience working with credit balances from
electronic/manual EOBs, lockbox and patient payments or equivalent experience
in patient accounting
Three plus years’ experience in medical billing & refunding insurances and/or
patients’ accounts or equivalent experience in patient accounting
Detail oriented, self-motivated, a problem solver and a team player
Ability to navigate multiple computer screens and browsers quickly and
accurately
Ability to excel in a very fast-pace team environment
Ability to continuously “exceed” company and customer expectation
Strong communication skills & professional demeanor
Education / Certifications:
Minimum of High School diploma or equivalent (GED)
Additional Eligibility Qualifications
None required for this position.
Other Duties
Please note this job description is not designed to cover or contain a
comprehensive listing of activities, duties or responsibilities that are
required of the employee for this job. Duties, responsibilities and activities
may change at any time with or without notice.
Compliance
Adheres to Envision’s Code of Conduct and Compliance Policies and attends annual
Compliance training as set forth by the Company.
Company Benefits
The following benefit programs are available to eligible employees. Benefits
eligibility is dependent on a variety of factors, including employee
classification.
Health Benefits: Medical/Dental/Vision/Life Insurance
Company Matched 401k Plan
Employee Stock Ownership Plan
Paid Time Off + Paid Holidays
Employee Assistance Program
OSHA Exposure Rating: 1
It is reasonably anticipated NO employees in this job classification will have
occupational exposure to blood and other potentially infectious body fluids.
Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit,
employ, train, compensate, and promote without regard to race, religion, creed,
color, national origin, age, gender, sexual orientation, marital status,
disability, veteran status, or any other basis protected by applicable federal,
state or local law.