Refund Specialist

2 hours, 3 minutes ago
Full-time
Junior
Customer and Technical Support
Millennium Health

Millennium Health

Millennium Health provides personalized medication intelligence through therapeutic drug monitoring, pharmacogenetic testing, and drug testing services to optimize treatment decisions and improve patient outcomes.

Pharmaceuticals
251-1K
Founded 2007

Description

  • Process and research credit balances and refund requests within Cash Management/Refunds.
  • Review, validate, and process customer and insurance overpayment refunds accurately and on time.
  • Research and resolve refund exceptions, including Provider Level Adjustment (PLB) items, according to departmental policies and procedures.
  • Reconcile Credit Balance Report accounts and investigate discrepancies.
  • Interact with insurance companies by phone to verify eligibility and claim status.
  • Communicate outstanding refund issues to a supervisor or lead and obtain approvals when needed.
  • Identify recurring issues and high-dollar adjustment or refund items, and escalate production or quality concerns.
  • Recommend operational changes to improve departmental efficiency.
  • Participate in educational activities and monthly staff meetings.
  • Maintain HIPAA, confidentiality, and cybersecurity compliance at all times.

Requirements

  • High school diploma or GED required.
  • Minimum of 2 years of medical insurance payment posting experience.
  • Ability to read and understand different types of health insurance EOBs.
  • Knowledge of cash accounting and accounts receivable processes.
  • Strong computer skills, including the ability to operate a computer, 10-key by touch, and basic office equipment.
  • Must be well-organized and detail-oriented.
  • Ability to meet deadlines and goals in a high-volume, fast-paced environment.
  • Ability to communicate and work effectively in a team environment.
  • Ability to read, understand, and follow oral and written instructions.
  • Flexibility to work overtime.

Benefits

  • Medical, dental, vision, and disability insurance.
  • 401(k) with company match.
  • Paid time off and holidays.
  • Tuition assistance.
  • Behavioral and health care resources.
  • Hourly pay range of $18.00 to $21.00, depending on location, skills, knowledge, and abilities.

Interested in this position?

Apply directly on the company website

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