- Manage daily work queues of credit balances for both onshore & offshore teams.
- Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances.
- Complete thorough review of patients' accounts with credit balances to validate the patient overpayment is accurate.
- Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation.
- Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines.
- Process refunds accurately and in timely manner adhering to contract language where appropriate.
- Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims.
- Use critical and analytical problem-solving skills to resolve issues
- Uses strong organizational skills to effectively manage large amounts of detailed information
- Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, surgery centers, and payer representatives to resolve credit balances.
- Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
- Other duties as assigned
- High school graduate or equivalent.
- Must have the skills necessary to operate the office equipment required to fulfill job duties
- Excel, Word, Outlook
- Able to navigate through nThrive and Availity (preferred)
- Previous credit balance resolution experience in a facility or CBO environment
- 2 years combined experience CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals
- Understanding of medical terminology
- Basic understanding of credit and refund guidelines
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Medical Reimbursement Specialist
1 week ago
The LaSalle Group Dallas, United StatesAs a national revenue cycle solutions firm, our client partners with healthcare organizations to increase cash collections, decrease unpaid claims and reduce denials and write offs.This well-trained customized business is looking for strong Medical Reimbursement Specialist who ca ...
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Reimbursement Specialist
3 weeks ago
Addus Homecare Frisco, United StatesJob Description · Job DescriptionAddus is searching for a Reimbursement Specialist to join our team. The Reimbursement Specialist will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with ...
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UnitedHealth Group Dallas, United StatesYou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone. · LHI is one of 4 businesses under OptumSe ...
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Clinical Reimbursement Specialist
6 days ago
Life Care Centers of America Benbrook, United StatesPosition Summary · The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regula ...
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Soleo Health Inc Frisco, United StatesJob Description · Job DescriptionDescription:Soleo Health is seeking a Reimbursement Contract Specialist to work Remotely (USA) with our Payor Contracts. Home Infusion experience required. Join us in Simplifying Complex Care · Soleo Health Perks: · Competitive Wages · Paid Parent ...
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Coding and CDI
1 week ago
Children's Health Dallas, United States Full timeJob Title & Specialty Area: Clinical Documentation Improvement Specialist · Department: Coding and CDI · Location: Dallas | Trinity Towers · Shift: Monday - Friday 8am -4:30pm · Job Type: Remote · Why Children's Health? · At Children's Health, our mission is to Make Life Better ...
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grants analyst.5020500
5 days ago
Dallas County Dallas, United StatesBrief Description · Conducts analysis of contract reimbursements, increments, replacements, renewals, and grant expenditure trends, and assists with budget preparation and reconciliation of county ledger in accounting systems.Detailed DescriptionConducts analysis of contract inc ...
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Legal Billing Specialist
2 weeks ago
Frontline Source Group Dallas, United StatesLegal Billing Specialist · Our Texas based law firm in Dallas, Texas is seeking a Legal Billing Specialist to join their team. · Law Firm Profile · Texas based multipractice law firm · Recognized as one of the best places to work consecutively for two years · Several attorneys ...
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Legal Billing Specialist
1 week ago
Frontline Source Group Dallas, United States Direct HireLegal Billing Specialist · Our Texas based law firm in Dallas, Texas is seeking a Legal Billing Specialist to join their team. · Law Firm Profile · Texas based multipractice law firm · Recognized as one of the best places to work consecutively for two years · Several attorneys ...
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Intake Specialist
9 hours ago
Elara Caring Dallas, United States Full timeDescription · : Intake Specialist · Full Time · Monday-Friday · 8:00am-5:00pm · At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality c ...
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NonCom RAM- Southern Division
6 days ago
Acosta Dallas, United StatesDo you have a passion for food? · Are you looking for a company where you can learn, grow, and WIN? · CORE Foodservice is a North American Foodservice Sales Agency that blends engaged leadership with a deep network of market specialists across North America who connect our custo ...
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Clinical Training/Education Specialist
4 weeks ago
ConsignMed Dallas, United States Part time - ContractJOB DESCRIPTION: · This is a per diem/1099 Clinical Specialist/Clinical Educator role. The Clinical Specialist will promote and support clinical education of the company's medical device to current and potential customers. You will educate and implement the medical device at cust ...
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Customer Support Specialist for e commerce
2 weeks ago
Creatunity LLC Dallas, United States Full timeCreatunity LLC is a leading marketing and advertising agency that is seeking a skilled Customer Support Specialist to join the team. As a Customer Support Specialist, you will be responsible for ensuring that our clients receive prompt and professional service. You will be expect ...
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Desk Review Specialist
1 day ago
Kemper Dallas, United States Full timeLocation(s) · Alpharetta, Georgia, Birmingham, Alabama, Charlotte, North Carolina, Dallas, Texas, Jacksonville, Florida, Lake Mary, Florida, McAllen, Texas, Miami, Florida, P&C-Butterfield Road-Downers Grove-IL-AAC Details · Kemper is one of the nation's leading specialized ins ...
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Clinical Denial Management Specialist III MSRDP
3 weeks ago
UT Southwestern Dallas, United States Full timeSUMMARY · : This Revenue Cycle Department has a new opportunity available for a talented Clinical Denial Management Specialist III. The ideal applicant will have 3+ years of follow-up experience of complex minor and/or major surgical procedures. Preferably someone who has been a ...
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Owens & Minor, Inc. Dallas, United States Full timeAt Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and the ...
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Supervisor, Reimbursement
1 week ago
UT Southwestern Dallas, United States Full timeWork from home (WFH): This is a work from home position estimated at 90%. However, candidates must live in the State of Texas, DFW area candidates are preferred . Additional details shall be discussed as part of the interview process. · The Ophthalmology Department team has a ne ...
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Coding and CDI
1 week ago
Children's Health Dallas, United States Full timeJob Title & Specialty Area: Coding Quality Specialist III · Department: Coding and CDI · Location: Dallas - Trinity Towers · Shift: Monday - Friday 8am -4:30pm · Job Type : Remote · Why Children's Health? · At Children's Health, our mission is to Make Life Better for Children, ...
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LocumJobsOnline Dallas, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Dermatology MD in El Paso, Texas, 79905 · About The Position · University Medical Center of El Paso - Full Time · Hours:4 or 5 day work week | 40 hours · Employed · New Graduates Welcome to Apply · Average Patie ...
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LocumJobsOnline Dallas, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in El Paso, Texas, 79905 · About The Position · University Medical Center of El Paso - Full Time · Hours:8 Hour Shifts | 5 Days per Week · Employed · New Graduates Welcome to Apply · Average P ...
Hospital Refund/ Reimbursement Specialist - Dallas, United States - NSN Revenue Resources
Description
Job Type
Full-time
Description
The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer service, maintain compliance with professionalism and regulatory processes. Interface with facility clients and internal corporate stakeholders.
$19-$23
Hospital Refund/ Reimbursement Specialist professionals in Dallas
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Jonathan Williams
Marketing Manager - Project Manager Experience