Refund Specialist
Refund Specialist
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Job Description
About Us
- Ventra is a leading business solutions provider for facilitybased physicians practicing anesthesia emergency medicine hospital medicine and now radiology through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services Ventra partners with private practices hospitals health systems and ambulatory surgery centers to deliver transparent and datadriven solutions that solve the most complex revenue and reimbursement issues enabling clinicians to focus on providing outstanding care to their patients and communities.
Job Summary
- The Refund Specialist is primarily responsible for monitoring and issuing patient and insurance refunds.
Essential Functions and Tasks
- Processes researches and resolves credit balances and refunds from a billing systems overages.
- Reviews refund request letters and determines an appropriate resolution based on contract and timely guidelines.
- Identifies trends and notifies appropriate departments.
- Navigates websites to obtain Explanation of Benefits (EOB).
- Contact insurance carriers to verify possible refund details.
- Analyzes data from various reports and makes recommendations accordingly.
- Performs special projects and other duties as assigned.
Education and Experience Requirements
- High School Diploma or Equivalent.
- Three 3 years of refunds billing system experience.
Knowledge Skills and Abilities
- Knowledge of Explanation of Benefits (EOB) statements.
- Knowledge of a variety of insurance plans.
- Strong oral written and interpersonal communication skills.
- Strong word processing spreadsheet and database software skills.
- Strong mathematical skills in addition subtraction multiplication and division of whole numbers and fractions; computing percentages; and working with decimal.
- Strong time management skills.
- Strong organizational skills.
- Ability to read understand and apply state/federal laws regulations and policies.
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful mature and professional manner.
Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates and all qualified applicants will receive consideration for employment without regard to race color ethnicity religion sex age national origin disability sexual orientation gender identity and expression or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities as needed to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services.These scammers may attempt to conduct fake interviews solicit personal information and in some cases have sent fraudulent offer letters.
To protect yourself verify any communication you receive by contacting us directly through our official channels. If you have any doubts please contact us confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted onhttps://ventrahealth/careers/.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
