Refund Analyst, CBO

Refund Analyst, CBO

About MedSrv

As the healthcare industry continues to grow, so does the need for consistent, effective Revenue Cycle Management. But it takes more than just technology and technical expertise. It takes innovation, a willingness to adapt, and passion to deliver the best. MedSrv, LLC is the difference in Revenue Cycle Management.

We’re looking for a Refund Analyst to join our growing team.  The Refund Analyst ensures that any overpayments are promptly identified and rectified, leading to improved accuracy in financial records and customer satisfaction. By reviewing accounts with a credit balance and issuing refunds as necessary. If you're ready to contribute to our mission of guiding by faith and serving with integrity and compassion, we want to hear from you!  Join the MedSrv team and be part of a company committed to excellence in Revenue Cycle Management.

Schedule: Full-time

Location: Remote

Compensation: $17.50/hr. 

Benefits for you and your family:

• Paid time off
• Full benefits package
• Matching 401k plan
• Balanced work-life schedule – NO WEEKENDS! 
• Casual work environment
• Career Development

In this role, you will:

Contact insurance carriers to offset overpayments helps to maintain positive relationships with payers and prevent future billing discrepancies. Overall, this proactive approach to managing credit balances contributes to the overall efficiency and effectiveness of the revenue cycle management process.

You will bring value to the team by: 

• Works Credit Balance Report by provider group/Work Queue (s) daily 
• Attaches supporting EOBs and documentation to Refund letter and save in a designated folder on the T drive to be attached to refund check for mailing  
• Notates each account explaining why the refund was issued and utilizes appropriate Kickcode when applicable
• Open case with CSC in Athena for any accounts that need corrections made due to posting errors and pend claims to allow for resolution
• Communicate posting errors in Epic to Directors for corrections 
• Follow up on any unresolved case in Athena greater than 10 days old. 
• Utilizes websites for up-to-date refund policies, overpayment forms, etc.
• Send Overpayment Letters to insurance companies with all EOBS to determine to if overpayments can be recouped from a future remit in lieu of sending a refund. 
• Adjust Credit balance for all carriers except Government with appropriate adjustment code when OPL letter is sent
• Credits for Government carriers will be kicked with the appropriate code once OPL letters are sent.
• Work all correspondence within 7 days of receipt
• Maintains average productivity of 5 claims an hour/40 accounts worked per day.
• Must be able to meet established and agreed-upon goals within 90 days of continuous employment. 

Requirements you must have for success:

• High school diploma or equivalent
• A minimum of one year experience and/or training; or equivalent combination or education and experience required.
• Good keyboarding skills
• Knowledge of office software and medical billing software. 
• Must have the ability to get along with others in a close office setting.

• Must have the ability to concentrate for extended periods of time.
• Must be willing to function and cooperate as a member of a team.

Language Skills:

Ability to: read and comprehend complex instructions, correspondence, and memos; write and present information to leadership, vendors, clients, and other employees of the organization.

Mathematical Skills:

Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Have the ability to compare rate, ratio, and percent and to draw and interpret various graphs.

Reasoning Ability:

Ability to:  deal with problems involving several concrete variables in standardized situations; plan, organize, delegate, and prioritize work; provide clear and effective direction to staff; communicate effectively orally and in writing; establish and maintain effective working relationships with MedSrv departments, vendors, other businesses, and our clients; Must be able to multi-task.

Physical Demands:

You may be required to lift between 30-50lbs at times.  Limited.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  The noise level in the work environment is usually moderate.

We are an equal-opportunity employer and believe in the power of a diverse, inclusive team. We welcome all applications from all suitably qualified people, regardless of race, sex, disability, religion/ belief, sexual orientation, or age. Please let us know if you require anything which would enable your success throughout our interview process.