Assistant Director, Community Engagement
WashU IT
Refund Specialist - Insurance
Savista
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $24 per hour
Job Level
Mid-LevelSenior
About the role
- Reviews refund/overpayment requests from insurance payers to determine if an overpayment has occurred.
- Reviews and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund check requests.
- Identifies root causes and trends contributing to patient and insurance credit balances and works collaboratively with all areas of the revenue cycle to improve efficiency and eliminate these issues.
- Posts debits for approved refunds.
- Research returned checks and collaborates with A/P for reporting to unclaimed property.
- Resolves Department credit balance inquiries for transfers and refund check requests.
- Ability to work collaboratively and build positive business relationships with clinical areas and the payer community.
- Understanding of electronic medical record / billing system Pricing Module and fee schedules
- Develops expertise with payer specialty-specific payment policies, by using the payer assigned websites.
- Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
- Perform other related duties as required
Requirements
- Bachelor's degree in accounting, business, finance or an equivalent combination of training and experience
- 3 years’ experience in health care/managed care environment, preferably in a large physician practice or a combination of experience and education.
- 1 year of experience with complex refunds to insurance
- Knowledgeable in physician reimbursement and managed care claim payment issues.
- Excellent communication skills and ability to effectively communicate with various levels of management in a multi-disciplinary environment.
- Strong analytical skills with attention to detail.
- Advanced level with Excel and financial analysis related to physician reimbursement
- Travel: Minimal
