Refund Rep; Physician Billing

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  • 17-00097
  • Full Time/Contract
  • Billing/Collections
  • Torrance, CA
Job Description
CLIENT COMPANY OVERVIEW
Since 1902, our Client’s hospital has focused on providing the highest quality healthcare available and in 2009 was named one of "America’s Best Hospitals . Today, our client delivers word-class medicine to the Los Angeles community and to patients from across the United States and around the world.

POSITION SUMMARY

Credit Balance/Refund Rep
Physician Billing

The Refund Representative is responsible for minimizing credit balances by following certain guidelines; for auditing of explanation of benefits (EOB’s); for analyzing and ensuring that all payments, adjustments and allocations involved in the account were done properly; for ensuring that the appropriate information can be packaged and provided to managers for refund processing.

ESSENTIAL DUTIES & RESPONSIBILITIES

  • Provides detail review to all codes referenced on the explanation of benefits (EOB).
  • Confirms that all adjustments have been done correctly.
  • As necessary, verifies previous payments in the file room to support refunds and/or adjustments.
  • Calls insurance companies to verify patient information
  • Attaches batch proof to all credit balance bathes created.
  • Fills-out refund request form and attaches all the supporting documentation for the supervisor’s review.
  • Post refund codes in IDX system.
  • Research/reviews accounts in order to identify credits.
  • Performs other related duties as assigned by supervisor.

QUALIFICATIONS / REQUIREMENTS

  • High school graduate or equivalent.
  • Three (3) years account follow-up, billing, and collection experience.
  • Minimum 1 year of credit balance/refunds experience in physician billing unit
  • Experience using EPIC billing system is preferred
  • Knowledgeable of health insurance payers and contracts.
  • Ability to maintain productivity requirements of 30-40 refund audits daily

COMPENSATION
$18.00/hr

POSITION CLASSIFICATION
Full Time, Temporary Contract
Monday Friday; Days


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