Customer Service Representative - Los Angeles, United States - Ampcus

Description

• Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.
• Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.
• Prepares and submits refund disputes letters to payers timely.
• Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.
• Documents all activity taken to an account in the (HIS) Hospital Information System (Epic).
• Writes clear, concise and grammatically account notes in Hospital Information System (Epic).

• Epic experience
• Patient Overpayment review/Refund
• Self-Pay Collections experience