Job Description

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.