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Do you want to use your problem solving skills and knowledge of finance to help heal America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first.
Responsibilities Position Summary
The Central Billing Office (CBO) Refund Specialist performs a variety of tasks researching refund requests, overpayments, and credit balances. The Specialist ensures money is correctly applied and overpayments are refunded to the appropriate party.
The DetailsAnalyze and resolve credit balances on medical billing systemReview and respond to various patient, customer, or insurance refund requestsUnderstand payer contracts and prepare refund requests accordinglyReview refund requests or credit balances on daily basis for completeness by comparing documentation against specific supporting back-upSubmit refund requests in good order to appropriate supervisor for approvalPrepare refund request forms and supporting documentation regarding overpaymentsIdentify and share payment/adjustment trends with supervisor to assist in on-going training of CBO colleaguesPerform daily, weekly, and monthly balancing of all posting activityIdentify billing errors, inaccurate payments or posting errors to resolve balances on practice management systemResearch credits on account receivables, unapplied balances and resolves balancesReconcile receipt summaries and resolves balancesContact payers (non-injury and injury) to determine if payments can be applied and process paperwork for payment transferResearch and process refund transactions such as duplicate payments and checks received in errorResearch and transfer unidentified payments to appropriate accounts/charges where approvedResearch and pull copies of previously paid checksProcess refund request spreadsheets/forms and makes appropriate copiesSubmit electronic refund requests to accounts payable with manager approval and documents request dateFile and maintain refund copiesThis 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. Concentra is a national health care company focused on improving America’s workforce, one patient at a time. Through our affiliated clinicians, we provide occupational medicine, urgent care, primary care, physical therapy, and wellness services. Concentra also serves employers by providing a broad range of onsite health services in worksite medical facilities. Qualifications Education/CredentialsHigh school diploma or GED equivalentSome college or specialty training in medical billing or equivalent job relevant experience preferredJob-Related ExperienceCustomarily has at least one or more years of experience in accounts receivable or payment postingJob-Related Skills/CompetenciesConcentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and FlexibilityAbility to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutionsOutstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalismThe ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policiesFamiliarity with Microsoft Excel, Outlook, WordAbility to communicate effectivelyTime management and organizational skillsFamiliarity with refund processFamiliarity with medical codingAnalytical and data entry skillsAbility to operate 10-key numeric pad by touch Additional Data 401(k) with Employer MatchMedical/Vision/Prescription/Dental PlansLife Insurance/DisabilityPaid Time OffColleague Referral Bonus ProgramThis position is eligible to earn a base compensation rate in the range of $19.00 to $22.00 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
External candidates: submit your application on concentra.com/careers
Current colleagues: visit the internal career portal on the main page of MyConcentra to apply
Concentra is an Equal Opportunity Employer, including disability/veterans
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