Remote Credit and Refunds Associate
Job Posting for Remote Credit and Refunds Associate at TELCOR Inc
Credit and Refunds Associate
TELCOR Inc, a nationally recognized provider of healthcare software and billing service, is looking for an energetic, focused, and motivated team member for the TELCOR Revenue Cycle Services (RCS) team. The Credit and Refunds Associate on the RCS team is responsible for managing credit balances and issuing refunds for RCS customers. In addition, the Credit and Refunds Associate will demonstrate expertise in reimbursement and cash management workflow. Employees in this position will work remotely, otherwise the employee can discuss with their supervisor if they would like the option to work in the office. Employees may be asked to come to the Lincoln, NE office for meetings or training on an as needed basis.
Responsibilities
TELCOR Inc, a nationally recognized provider of healthcare software and billing service, is looking for an energetic, focused, and motivated team member for the TELCOR Revenue Cycle Services (RCS) team. The Credit and Refunds Associate on the RCS team is responsible for managing credit balances and issuing refunds for RCS customers. In addition, the Credit and Refunds Associate will demonstrate expertise in reimbursement and cash management workflow. Employees in this position will work remotely, otherwise the employee can discuss with their supervisor if they would like the option to work in the office. Employees may be asked to come to the Lincoln, NE office for meetings or training on an as needed basis.
Responsibilities
- Knowledge of Revenue Cycle application, team workflows, best practices, and standard operating procedures to assist the Revenue Cycle Services Supervisor with implementing and monitoring daily workflow
- Demonstrate knowledge of CPT, HCPCs, modifiers, ICD-10 codes, and EOB interpretation
- Enhance business line organization and success by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments
- Adhere with Standard Operating Procedures or Best Practices as documented or as verbalized from supervisors, other leadership, trainers, or other experienced team members
- Responsible for escalating questions, errors, or setup changes to RCS Revenue Cycle Supervisor in order to keep the claim moving through the revenue cycle and to produce accurate, timely, and quality work
- Meet with the RCS team on a regular basis to discuss and identify issues, review team performance, participate in ongoing training and process development
- Analyze data to prioritize tasks to maintain customer Service Levels Agreements (SLA)
- Stay current on work assigned or delegated within timelines established as standard expectations or as set forth by supervisors or other leadership
- Identify and correct patient and payer overpayments
- Identify and correct payment entry errors
- Post payment corrections, recoupments, NSF’s and other transactions for outstanding AR according to guidelines
- Provide overpayment information to Claims Resolution teams as needed
- Follow-up and taking action by interpreting information, making determinations, applying knowledge to execute appropriate next steps on outstanding overpayment and recoupment requests according to payer specific policies
- Assigned to areas of focus or specialization, such as: posting and working payer correspondence, investigating and/or resolving credit balances, initiating refund requests, issuing and managing payer overpayment letters/responses
- Determine when to bill a patient and when to assign work back to the customer for review, feedback, or completion of next steps and taking appropriate action to keep the claim moving through the revenue cycle
- Share skills and knowledge with others
- Additional duties may be assigned
Requirements
- Must be able to uphold confidentiality and comply with federal, state, and company policy, procedures, and regulations
- Ability to effectively and professionally communicate, both in writing and verbally with tact, diplomacy, and respect for others
- Must have strong mathematical skills and attention to detail
- Must have strong computer skills and be able to leverage and navigate using technology to complete daily tasks (e.g. Excel, electronic documentation storage and retrieval, keyboarding and mouse navigation, email/outlook)
- Must be able to work independently, and with team to achieve individual and team goals
- Must be able to apply critical thinking and appropriate discernment in all activities and job functions before taking action or initiating communication
- Must possess creative thinking skills to develop, design, and create solutions
- Knowledge of medical billing and insurance terminology preferred but not required
- Must be able to read and interpret an EOB from a payer
- Self-motivated, analytical, quick learner, organized, detail oriented, multi-tasker, resilient, self- disciplined in time management
- Ability to demonstrate understanding of the structure, key issues, language, and the general billing environment with an ability to discuss and explain current and emerging issues, including TELCOR products and services applicable to those needs
- Must have a thorough understanding of Windows® operating system environments and Office tools; e.g., Word®, Excel®
- Minimum of two (2) years of medical or healthcare related payment entry experience and/or equivalent accounting experience preferred but not required
TELCOR is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other characteristic protected by law.
All trademarks, service marks, trade names, trade dress, product names and logos appearing herein are the property of their respective owners.
Microsoft, Windows, Crystal Reports and SQL Server are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries.
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Job openings at TELCOR Inc
TELCOR Inc
Lincoln, NE
Full Time
TELCOR Inc
Lincoln, NE
Full Time
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