MedSrv ยท 4 days ago
CBO Refund Analyst
MedSrv is a company committed to excellence in Revenue Cycle Management, guided by faith and integrity. The Refund Analyst will ensure that overpayments are identified and rectified, improving accuracy in financial records and customer satisfaction by reviewing accounts and issuing refunds as necessary.
AccountingBillingFinancial ServicesHealth Care
Responsibilities
Review and work Credit Balance Reports by provider group/Work Queue daily
Prepare refund letters with supporting EOBs/documentation; save to designated folder for mailing with refund checks
Document accounts with refund reasons and apply correct Kickcodes when needed
Open cases for posting errors; pend claims until resolved
Report posting errors to Directors for correction
Follow up on unresolved cases older than 10 days
Use payer websites for updated refund policies and overpayment forms
Send Overpayment Letters with EOBs to insurers to determine if overpayments can be recouped from future remits
Adjust credit balances for all carriers (except Government) with the correct adjustment code when OPL letters are sent
For Government carriers, apply the correct Kickcode once OPL letters are sent
Work all correspondence within 7 days of receipt
Maintain productivity standards: 5 claims per hour / 40 accounts per day
Meet established performance goals within 90 days of employment
Qualification
Required
A high school diploma or equivalent is required
Preferred
Minimum of one year of relevant experience and/or training preferred
A comparable combination of education and experience will also be considered
Benefits
Competitive benefits
Paid time off
401k with match